2026 NPPES data Cardiovascular Disease Physician NPI 1295116499 MD
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TONY CHEN, MD

Cardiovascular Disease Physician in SEATTLE, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 261 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TONY CHEN, MD is a Cardiovascular Disease Physician ([object Object]) practicing in SEATTLE, Washington with a Medicare Part D prescribing footprint of 1K claims across 261 beneficiaries — 19% brand-name prescribing . Industry payments of $1.2K across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TONY CHEN, MD filed 1,416 Medicare Part D claims in 2023 across SEATTLE, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TONY CHEN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TONY CHEN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/12/2015

NPI 1295116499

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

1,416 53% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

Specialty distribution in Washington

How Cardiovascular Disease Physician compares to other specialties among Washington providers

Washington providers

Cardiovascular Disease Physician share within Washington

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Cardiovascular Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Cardiovascular Disease Physician ABMS/AOA estimate

Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

TONY CHEN, MD is a Cardiovascular Disease Physician provider practicing in SEATTLE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1295116499. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TONY CHEN, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 1100 9TH AVE, SEATTLE, WA, 98101, with a listed phone of (206) 341-1111. NPI 1295116499 was issued on 06/12/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CHEN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,416 prescription claims written by this provider, covering 261 Medicare beneficiaries and totaling roughly $337K in drug spend, split 19% brand-name and 81% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1100 9TH AVE
SEATTLE, WA 98101

Provider Details

NPI 1295116499
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 06/12/2015

Hospital and facility affiliations

Facilities where TONY CHEN, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VIRGINIA MASON MEDICAL CENTER
★★★★★ 5/5
KIRKLAND, WA
Acute Care Hospitals
CMS CCN: 500005
MID-COLUMBIA MEDICAL CENTER
★★★★☆ 4/5
THE DALLES, OR
Acute Care Hospitals
CMS CCN: 380001

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for TONY CHEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

Boston Scientific Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to TONY CHEN, MD. To verify TONY CHEN, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

TONY CHEN, MD — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 1,416 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,416
Total Claims
$337K
Total Drug Cost
261
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,702
Total Day Supply
110,445
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$313K
Generic Drug Cost
$25K

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.63
Gender Split
49% female / 51% male
Age Distribution
<65: 17, 65-74: 125, 75-84: 75, 85+: 44

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Metoprolol Succinate
323
Furosemide
124
Atorvastatin Calcium
123
Eliquis
Apixaban
107
Potassium Chloride
95
Spironolactone
80
Entresto
Sacubitril/Valsartan
70
Carvedilol
54
Losartan Potassium
48
Torsemide
44

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Cardiovascular Disease Physician Overview

How TONY CHEN, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

TONY CHEN, MD's 1,416 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as CHEN.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TONY CHEN, MD's specialty?
TONY CHEN, MD specializes in Cardiovascular Disease Physician and practices in SEATTLE, Washington. Credentials: MD.
How much does TONY CHEN, MD prescribe under Medicare Part D?
In 2023, TONY CHEN, MD wrote 1,416 Medicare Part D claims totaling $337K in drug costs for 261 beneficiaries.
Where is TONY CHEN, MD located?
TONY CHEN, MD is located at 1100 9TH AVE, SEATTLE, WA, 98101. Phone: (206) 341-1111.
What is TONY CHEN, MD's NPI number?
TONY CHEN, MD's National Provider Identifier (NPI) is 1295116499, issued on 06/12/2015.
Does TONY CHEN, MD prescribe more brand-name or generic drugs?
TONY CHEN, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $313K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does TONY CHEN, MD prescribe most often?
Based on 2023 Medicare Part D data, TONY CHEN, MD's most frequently prescribed drugs include Metoprolol Succinate, Furosemide, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TONY CHEN, MD accept Medicare?
TONY CHEN, MD appears in CMS Medicare data with 1,416 Part D claims and 261 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TONY CHEN, MD's credentials?
TONY CHEN, MD's NPI is 1295116499 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology