ELIZABETH TIEN NGUYEN (MD) – Sports Medicine (Family Medicine) Physician, NPI 1295265593

ELIZABETH TIEN NGUYEN (MD) is a healthcare provider. based in Bryan, Texas. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. T9197 (TX). The NPI Number for ELIZABETH TIEN NGUYEN (MD) is 1295265593

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH TIEN NGUYEN (MD)
NPI
1295265593
Phone
(979) 776-8440
Address
2900 E 29th St Ste 200
Enumeration Date
19 June 2017
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
9797045029
Graduation Year
2017 (9 years ago)
PAC ID
0042611766
Group Practice PAC ID
1052604006
Professional Enrollment ID
I20221003002084
Address ID
TX778023478BR3201XEXXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

Provider Addresses for ELIZABETH TIEN NGUYEN (MD)

  • 2900 E 29th St Ste 200

    Bryan, TX 778022623

    Phone: (979) 776-8440

    Type: Location

  • 51, Pennsylvania Street, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328062937

    Phone: (321) 843-3220

    Fax: (321) 843-3210

    Type: Mailing

  • 8441 STATE HWY 47

    STE 3115

    BRYAN, TX 77807

    Phone: (979) 436-9703

    Type: Mailing

  • 3121 UNIVERSITY DR E STE 100

    BRYAN, TX 778023499

    Phone: (799) 776-0169

    Fax: (799) 776-1342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $425.

Total Amount is formed as General ($425) + Research ($0) + Ownership ($0) = $425.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Bioventus LLC ($196).

Total Amount

$425

General + Research + Ownership

Payments

9

Total payment records

General Amount

$425

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

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: 2022-10-03

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
I20221003002084IPediatric MedicineTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg7715$0
99204New patient office or other outpatient visit, 45-59 minutes6464$0
20610Aspiration and/or injection of fluid from large joint3827$0
99214Established patient office or other outpatient visit, 30-39 minutes3626$0
73562X-ray of knee, 3 views2722$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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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: 1052604006View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Hand SurgeryND
Physician AssistantTX
-TX
General SurgeryTX
Orthopedic Surgery, Sports MedicineTX
Family PracticeTX
Family PracticeTX
Family Practice, Emergency Medicine, General Practice, Physical Medicine And RehabilitationTX
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What unique ID ties claims to ELIZABETH TIEN NGUYEN (MD)?
NPI 1295265593 is assigned to ELIZABETH TIEN NGUYEN (MD) under the national enumeration system.
Does this profile mean ELIZABETH TIEN NGUYEN (MD) is currently active?
Yes — ELIZABETH TIEN NGUYEN (MD) appears active in the national provider directory.
What kind of provider is ELIZABETH TIEN NGUYEN (MD)?
The page reflects Sports Medicine (Family Medicine) Physician for ELIZABETH TIEN NGUYEN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place ELIZABETH TIEN NGUYEN (MD)?
The snapshot lists Bryan, Texas for ELIZABETH TIEN NGUYEN (MD); download NPPES for the complete set.
How can I contact ELIZABETH TIEN NGUYEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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