ELIZABETH TIEN NGUYEN (MD) – Sports Medicine (Family Medicine) Physician, NPI 1295265593
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Bioventus LLC | $196 |
| Boston Scientific Corporation | $192 |
| Smith+Nephew, Inc. | $22 |
| DePuy Synthes Sales Inc. | $15 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221003002084 | I | Pediatric Medicine | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 77 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 38 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 26 | $0 |
| 73562 | X-ray of knee, 3 views | 27 | 22 | $0 |
Insurance plans in this area (ZIP 77802)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Hand Surgery | ND | |
| Physician Assistant | TX | |
| - | TX | |
| General Surgery | TX | |
| Orthopedic Surgery, Sports Medicine | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice, Emergency Medicine, General Practice, Physical Medicine And Rehabilitation | TX | |
| Physical Therapist In Private Practice | CT |
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