Active NPI 1700889243 Individual Practitioner Male Practitioner

Dr. Luke B Chen , MD

Internal Medicine • Waterloo, NY

Professional Overview & Biography Verified Profile Summary

Dr. Luke Chen, MD is a registered healthcare professional specializing in Internal Medicine in Waterloo, NY. Practice services are available at 367 E MAIN ST STE A under active NPI credentials.

Frequently performed procedures and clinical services include telephone medical discussion with physician, established patient outpatient office visit, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

367 E Main St Ste A

Waterloo, NY 131651643

Telephone 3157874977

Associated Practice Facility / Clinic

🏢 Soldiers & Sailors Memorial Hospital Facility NPI 1972101491

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Waterloo, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Waterloo, NY (12979 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	79	61	$160.00	$126.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	50	$160.00	$121.33
99213 Established patient office or other outpatient visit, typically 15 minutes	60	45	$109.42	$87.45
99442 Telephone medical discussion with physician, 11-20 minutes	59	50	$110.00	$89.35
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	18	$22.00	$13.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$170.00	$123.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$66.00	$55.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	563	164	$153.25	$128.13
99213 Established patient office or other outpatient visit, typically 15 minutes	452	143	$127.26	$89.26
99443 Telephone medical discussion with physician, 21-30 minutes	232	112	$155.26	$129.00
99442 Telephone medical discussion with physician, 11-20 minutes	159	102	$111.64	$90.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$184.01	$130.30
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	132	31	$23.60	$15.45
G0008 Administration of influenza virus vaccine	121	121	$40.00	$16.52
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	92	92	$54.63	$19.69
99496 Transitional care management services for problem of high complexity	33	26	$307.15	$274.68
90662 Influenza vaccine split virus, preservative free	30	30	$173.80	$65.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$212.80	$180.30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$222.50	$167.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	793	178	$150.00	$106.61
99213 Established patient office or other outpatient visit, typically 15 minutes	519	156	$135.00	$73.51
99443 Telephone medical discussion with physician, 21-30 minutes	198	108	$135.00	$106.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	153	153	$226.47	$113.76
G0008 Administration of influenza virus vaccine	139	139	$38.00	$16.27
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	116	33	$25.00	$15.02
90662 Influenza vaccine split virus, preservative free	88	88	$65.68	$60.98
99496 Transitional care management services for problem of high complexity	52	28	$287.50	$239.37
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	51	51	$20.00	$19.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	20	$217.59	$142.99
G0009 Administration of pneumococcal vaccine	22	22	$30.00	$16.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$130.00	$51.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$130.00	$115.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	969	195	$150.00	$104.89
99213 Established patient office or other outpatient visit, typically 15 minutes	521	169	$124.54	$71.61
G0008 Administration of influenza virus vaccine	165	165	$38.00	$15.94
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	165	165	$20.00	$17.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$150.37	$112.04
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	128	36	$25.00	$14.35
99496 Transitional care management services for problem of high complexity	54	36	$256.48	$223.50
G0009 Administration of pneumococcal vaccine	47	47	$30.00	$15.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	37	37	$124.59	$110.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	23	$210.34	$140.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$200.00	$165.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$130.00	$51.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	954	205	$150.00	$100.45
99213 Established patient office or other outpatient visit, typically 15 minutes	750	190	$107.03	$68.04
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	182	182	$20.01	$17.48
G0008 Administration of influenza virus vaccine	180	180	$38.00	$19.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$150.00	$108.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	15	$45.00	$19.13
99496 Transitional care management services for problem of high complexity	51	35	$250.00	$217.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$200.00	$160.53
G0009 Administration of pneumococcal vaccine	25	25	$30.00	$19.61
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	18	$50.00	$13.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	14	$130.00	$50.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$216.25	$135.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$120.00	$105.59
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$200.00	$155.78
90670 Pneumococcal vaccine for injection into muscle	11	11	$207.27	$196.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	950	210	$100.00	$67.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	783	206	$149.76	$99.91
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	185	184	$20.00	$17.48
G0008 Administration of influenza virus vaccine	185	184	$38.00	$24.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	141	22	$45.00	$23.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$151.30	$107.82
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	92	27	$50.00	$13.34
99496 Transitional care management services for problem of high complexity	37	34	$250.00	$215.41
G0009 Administration of pneumococcal vaccine	31	31	$30.00	$24.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$203.57	$159.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$100.50	$93.38
90670 Pneumococcal vaccine for injection into muscle	12	12	$200.00	$186.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$130.00	$50.10

Medical Specialties & State Licenses

CMS Verified: 2022-08-31

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 0163513

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 0163513

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00944849 (NY)

Secondary Practice Locations

60 Fall St

Seneca Falls, NY 131481409

Phone: 3155682606

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Roberta Korich , NP

Nurse Practitioner - Family

NPI 1053496315

Nurse Practitioner

Jennifer Whitmore

Nurse Practitioner

NPI 1205405743

Kenneth Mathis , RPA

Physician Assistant

NPI 1518053719

Dr. Michael Kozlowski , DO

Family Medicine

NPI 1649910464

Doctor of Osteopathic Medicine (D.O.)

Trevor Johnson

Nurse Practitioner - Primary Care

NPI 1669347951

Elizabeth Smith

Nurse Practitioner - Primary Care

NPI 1730712985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location August 31, 2022

Registered at 367 E MAIN ST STE A, WATERLOO, NY 131651643 (Tel: 3157874977)

📍

Updated Business Mailing Address August 31, 2022

Registered at 367 E MAIN ST STE A, WATERLOO, NY 131651643 (Tel: 3157874977)

✅

NPI Profile Active February 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2015

Registered at 60 FALL ST, SENECA FALLS, NY 131481409 (Tel: 3155682606)

📍

Updated Business Mailing Address February 27, 2015

Registered at 60 FALL ST, SENECA FALLS, NY 131481409 (Tel: 3155682606)

👤

Provider Name / Credentials Updated February 27, 2015

Recorded as LUKE CHEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Internal Medicine (License #0163513 in NY)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Pediatrics (License #0163513 in NY)

🟢

Initial NPI Registration & Enumeration May 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1700889243

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 28, 2005

Last Update: August 31, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

367 E Main St Ste A

Waterloo, NY 131651643

Phone: 3157874977

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.