Dr. Tony Chen, MD

  • Pleasanton, CA
  • Urologist
NPI1013335512PAC ID4183943970
Medicare services, 2024
540
Medicare patients, 2024
385
Part D claims, 2024
510
Publications
24
MIPS score, 2024
89
Practice address
5565 W Las Positas Blvd, Pleasanton, CA 94588
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Stanford Care Digestive Health Center of Pleasanton - HOPD

Acute Care Hospital outpatient department · Pleasanton, California

See all 6 affiliations

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Dr. Tony Chen is a urologist in Pleasanton, California

Dr. Chen practices at Stanford Care Digestive Health Center of Pleasanton - HOPD in Pleasanton, California.

Dr. Chen's NPI, 1013335512, was assigned on April 1, 2014. Dr. Chen graduated from UC San Diego School of Medicine in 2014. Dr. Chen's California license number on file is A166904.

NPI and contact details
Medicare PAC ID
4183943970
NPI enumeration date
April 1, 2014
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
38
Medical school graduation
2014

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Tony Chen practices at Stanford Care Digestive Health Center of Pleasanton - HOPD in Pleasanton, California

Dr. Chen's primary practice is Stanford Care Digestive Health Center of Pleasanton - HOPD, at 5565 W Las Positas Blvd, Pleasanton, CA 94588.

  • Stanford Care Digestive Health Center of Pleasanton - HOPD
    5565 W Las Positas Blvd, Pleasanton, CA 94588

Source: Dmand AI Affiliation Data

Dr. Tony Chen is affiliated with 4 sites of care and 2 medical groups

Dr. Chen's primary practice is Stanford Care Digestive Health Center of Pleasanton - HOPD in Pleasanton, California. Dr. Chen is also affiliated with Stanford Health Care Tri-Valley. The medical group on file is Stanford Health Care. Dmand AI also links Dr. Chen to 2 more hospitals and 1 medical group, each named with a free account.

Stanford Care Digestive Health Center of Pleasanton - HOPDAcute Care Hospital outpatient department · Pleasanton, CaliforniaPrimary
Stanford Health Care Tri-ValleyAcute care hospital, Pleasanton, CAStanford Health CarePrimary care group, Stanford, CA2 hospitalsNames with a free account1 medical groupName with a free account
See all 6 affiliations for Dr. Chen

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Tony Chen's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Chen practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Stanford Care Digestive Health Center of Pleasanton - HOPDAvailable with a free account
+3 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Tony Chen is one of 1,395 urologists in California

Urology is Dr. Chen's primary specialty in the NPI Registry, under taxonomy code 208800000X. Dr. Chen is board certified in urology by the American Board of Urology. Dmand AI has Dr. Chen's licenses on file in 2 states: California and Washington.

Specialties and state licenses

  • Urology, CaliforniaPrimaryLicense A166904 · 2019 to 2025 · taxonomy 208800000X
  • Washington license2017 to 2026

Clinical focus

Dmand AI lists enlarged prostate, enlarged prostate transurethral surgery (TURP), erectile dysfunction, kidney removal surgery, kidney stone disease, prostate cancer, testicular dysfunction and urinary endoscopy among the conditions Dr. Chen treats.

Urologists near Dr. Chen

Counts of urologists with a Dmand AI profile, by place and practice. Each opens the list.

1,395urologists in California
4urologists in Pleasanton

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Tony Chen billed Medicare for 540 services in 2024

CMS data shows 540 Medicare services from Dr. Chen across 8 procedure codes in 2024, for 385 Medicare patients. Medicare paid $54,515 for them. Every service was in an office.

Medicare services, 2024540
Medicare patients385
Paid by Medicare$54,515
Procedure codes8

Dr. Chen's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4462024: 444No change
Surgery
2023: 472024: 6538%
Other services
2023: 322024: 2038%
Imaging
2023: 02024: 11

Dr. Chen compared with the California median for urologists, 2024

  • Dr. Chen
  • California median
Medicare services
540vs 1,05049% below
Medicare patients
385vs 34611% above
Part D claims
420vs 64235% below

Medians across 1,310 urologists in California with Dmand AI profiles that report each measure.

Dr. Chen's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Chen

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Chen and other urologists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Tony Chen treated 385 Medicare patients in 2024, average age 74

CMS counts 385 Medicare patients who saw Dr. Chen in 2024. The largest group is 65 to 74, with 207 patients. 75% of them have high cholesterol, and 66% have high blood pressure. 13% are also on Medicaid. Their average risk score is 1.14, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Chen's median patient age at 63, with 8% women.

Medicare patients, 2024385
Average age74
Average risk score1.14
Also on Medicaid13%

Dr. Chen's Medicare patients by age, 2024

Dr. Chen's Medicare patients by sex, 2024

  • Women3910%
  • Men34690%

Chronic conditions among Dr. Chen's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure66%
  3. Arthritis32%
  4. Ischemic heart disease27%
  5. Cancer25%
  6. Chronic kidney disease24%
  7. Diabetes20%
  8. Atrial fibrillation19%

Share of Medicare patients with each condition. A patient can have several.

Dr. Chen's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women8%
  • Men89%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Tony Chen wrote 510 Medicare Part D claims in 2024

In 2024, Dr. Chen wrote 510 Medicare Part D claims for 193 patients. 92% of them were for generic drugs. CMS names the drug for 420 of them, across 10 drugs with 11 or more claims each, at $35,650 in total drug cost. In 2023, CMS named 382 claims across 12 drugs.

Part D claims, 2024510
Drugs named by CMS10
Total drug cost$35,650
Part D patients193

Dr. Chen's Part D claims by kind of drug, 2024

  • Generic467 claims92%
  • Brand-name43 claims8%

Dr. Chen's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Chen's Part D claims, 2024

  • Antibiotics6%29 of 510 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 3822024: 42010%

Drugs named by CMS: 10 in 2024, 12 in 2023.

See all prescribing by Dr. Chen

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Tony Chen scored 89 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Dr. Chen for performance year 2024, reported as part of a group. Dr. Chen accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Chen as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Chen's MIPS scores, performance year 2024

  • 89of 100Final score
  • 87.1of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 70of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)

Prostate resection: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Tony Chen has 24 publications on record

Dmand AI links 24 papers to Dr. Chen, published from 2012 to 2024. 2021 was the busiest year, with 9. The most frequent topics are Fathers, Metabolic Syndrome and Testosterone. Dr. Chen has published most often in J Sex Med. Dr. Chen's most frequent co-authors are Michael Louis Eisenberg, MD, Michael Eisenberg, MD and Evan Anthony Mulloy, MD.

Papers24
Years published2012 to 2024

Dr. Chen's papers by year, 2012 to 2024

Topics Dr. Chen writes about most

  • Fathers
  • Metabolic Syndrome
  • Testosterone
  • Hormone Replacement Therapy
  • Hypogonadism
  • Infertility, Male
  • Nutrition Surveys
  • Semen Analysis

Dr. Chen's most frequent co-authors

Recent publications by Dr. Chen

See all 24 publications and co-authors

See who Dr. Chen researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Chen works with, so you can find a warm path to the right urologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Tony Chen received $4,994 in industry payments from 2018 to 2025

CMS Open Payments shows 42 general payments to Dr. Chen from 10 drug and device companies from 2018 to 2025. Food and beverage make up the largest share, 52% of the total. Coloplast Corp paid the most, $1,546.

General payments to Dr. Chen by program year, 2018 to 2025

General payments to Dr. Chen by kind, 2018 to 2025

$5Kin total
  • Food and beverage$2,61152%
  • Travel and lodging$2,38348%

Companies that paid Dr. Chen the most, 2018 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Chen

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Tony Chen graduated from UC San Diego School of Medicine

Dr. Chen graduated from UC San Diego School of Medicine in 2014. Dr. Chen is a member of AUA.

  1. Medical schoolUC San Diego School of Medicine
  2. Board certified in urologyAmerican Board of Urology

Source: Dmand AI Professional Profile Data

Dr. Tony Chen accepts plans from 8 insurance carriers

Dr. Chen is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. Medicare plans come from the most carriers, 5. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • Elevance
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • United Healthcare
  • Blue Cross and Blue Shield of Kansas City
  • CMS Medicare

Plan types Dr. Chen accepts, by number of carriers

  1. Medicare5
  2. PPO5
  3. HMO4
  4. EPO3
  5. POS3

Source: Dmand AI Insurance Network Data

Sources for Dr. Tony Chen's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Tony Chen

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Tony Chen's NPI number?

Dr. Tony Chen's NPI number is 1013335512. It was assigned on April 1, 2014, and it is active in the NPI Registry.

What kind of doctor is Dr. Tony Chen?

Dr. Tony Chen is a urologist in Pleasanton, California. The primary specialty in the NPI Registry is Urology Physician (taxonomy code 208800000X).

Where does Dr. Tony Chen practice?

Dr. Chen practices at 5565 W Las Positas Blvd, Pleasanton, CA 94588. Dr. Chen's primary practice is Stanford Care Digestive Health Center of Pleasanton - HOPD in Pleasanton, California. Dmand AI also links Dr. Chen to 2 hospitals and 1 medical group.

What is Dr. Tony Chen's medical license number?

Dr. Chen's California license number on file is A166904, one of the licenses on file in 2 states.

Which states has Dr. Tony Chen been licensed in?

Dmand AI has state licenses on file for Dr. Chen in California (2019 to 2025) and Washington (2017 to 2026).

Which hospitals is Dr. Tony Chen affiliated with?

Dr. Chen is affiliated with Stanford Health Care Tri-Valley. Dmand AI links Dr. Chen to 2 more hospitals.

What medical group is Dr. Tony Chen part of?

Dr. Chen is linked to Stanford Health Care. Dmand AI links Dr. Chen to 1 more medical group.

Does Dr. Tony Chen accept Medicare?

Yes. CMS data shows Dr. Chen billed Medicare for 540 services in 2024, and Dr. Chen accepts Medicare assignment.

Does Dr. Tony Chen offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Chen as offering telehealth services.

What is Dr. Tony Chen's MIPS score?

Dr. Chen's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Tony Chen see?

CMS counts 385 Medicare patients who saw Dr. Chen in 2024, with an average age of 74.

Is Dr. Tony Chen board certified?

Yes. Dr. Chen is board certified in urology by the American Board of Urology.

What services does Dr. Tony Chen bill to Medicare?

In 2024, Dr. Chen's most billed Medicare services were office visit, established patient (99214), office visit, new patient (99204) and surgery: urinary system (52000).

Where did Dr. Tony Chen go to medical school?

Dr. Chen graduated from UC San Diego School of Medicine in 2014.

What drugs does Dr. Tony Chen prescribe most?

In 2024 Medicare Part D data, Dr. Chen's most prescribed drugs by claims were Tamsulosin HCl, Finasteride and Testosterone.

Has Dr. Tony Chen received payments from drug or device companies?

CMS Open Payments shows $4,994 in general payments to Dr. Chen from 10 companies from 2018 to 2025. The largest total came from Coloplast Corp.

How long has Dr. Tony Chen been practicing?

Dr. Chen graduated from medical school in 2014, 12 years ago.

Does Dr. Tony Chen do research?

Dmand AI links 24 publications to Dr. Chen, published from 2012 to 2024.

Who does Dr. Tony Chen publish with?

Dr. Chen's most frequent co-authors are Michael Louis Eisenberg, MD (17 shared papers), Michael Eisenberg, MD (17 shared papers) and Evan Anthony Mulloy, MD (6 shared papers).

What insurance does Dr. Tony Chen accept?

Dr. Chen is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. Medicare plans come from the most carriers, 5. Check the plan with the practice before a visit.

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