MR. BAOLONG VIET NGUYEN (PA-C) – Physician Assistant, NPI 1124795299

MR. BAOLONG VIET NGUYEN (PA-C) is a healthcare provider. based in Live oak, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA15028 (TX). The NPI Number for MR. BAOLONG VIET NGUYEN (PA-C) is 1124795299

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. BAOLONG VIET NGUYEN (PA-C)
NPI
1124795299
Phone
(210) 864-9209
Address
11101 TOEPPERWEIN RD
Enumeration Date
26 August 2021
Last Update Date
26 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8306267902
Graduation Year
2021 (5 years ago)
PAC ID
1557756103
Group Practice PAC ID
8426055625
Professional Enrollment ID
I20220316004088
Address ID
TX781303585NE2660XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. BAOLONG VIET NGUYEN (PA-C)

  • 11101 TOEPPERWEIN RD

    LIVE OAK, TX 782333048

    Phone: (210) 864-9209

    Type: Mailing

  • 8601 VILLAGE DR STE 104

    SAN ANTONIO, TX 782175509

    Phone: (210) 942-4217

    Fax: (210) 538-2484

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,122.

Total Amount is formed as General ($1,122) + Research ($0) + Ownership ($0) = $1,122.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($485).

Total Amount

$1,122

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220316004088IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths554106$0
99213Established patient office or other outpatient visit, 20-29 minutes279231$0
17000Destruction of precancer skin growth, 1 growth155135$0
99214Established patient office or other outpatient visit, 30-39 minutes150126$0
17110Destruction of skin growth, 1-14 growths10187$0
View full utilization report →

Insurance plans in this area (ZIP 78233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426055625View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
D E R M A T O L O G YTX
Physician AssistantNC

Reviews

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Frequently asked questions

Does MR. BAOLONG VIET NGUYEN (PA-C) have a public NPI I can cite?
Public records show MR. BAOLONG VIET NGUYEN (PA-C) under NPI 1124795299.
Is MR. BAOLONG VIET NGUYEN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MR. BAOLONG VIET NGUYEN (PA-C) as active.
How should patients interpret MR. BAOLONG VIET NGUYEN (PA-C)'s specialty?
The extract shows Physician Assistant for MR. BAOLONG VIET NGUYEN (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. BAOLONG VIET NGUYEN (PA-C)?
MR. BAOLONG VIET NGUYEN (PA-C) is associated with Live Oak, Texas in the same public data insurers reference.
Who maintains MR. BAOLONG VIET NGUYEN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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