Tim HC Pan, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5101012786 Issued in MI

Practice address

1601 Marquette St
Ste 1
Bay City, MI 48706-4196

Phone

(989) 671-2550

Fax

(989) 671-2545

NPI assigned

Jun 16, 2005

Last updated

Apr 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of North Texas HSC, College of Osteopathic Med, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andersen Eye Associates, PLCGroup PAC ID 8921089871, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.43 of 100Reported as group

Quality

96.08

Improvement activities

40

Cost

76.67

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andersen Eye Associates, PLC

  dba Andersen Eye Associates

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1366402638
  Medicare reassignment Care Compare group NPD
• Andersen Eye Associates, PLC

  • Eyewear Supplier
  • Saginaw, MI
  • NPI 1124106489
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1245235332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5649",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486030649",
            "telephone_number": "989-797-2400",
            "fax_number": "989-249-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MARQUETTE ST",
            "address_2": "STE 1",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064196",
            "telephone_number": "989-671-2550",
            "fax_number": "989-671-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "TIM",
        "middle_name": "HC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101012786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104118170",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tim.pan.p1@direct.aea.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1601 Marquette St",
            "address_2": "Ste 1",
            "city": "Bay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487064196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Pahlkotter
• Leah M Palm
• Valerie Palmatier
• Kelby S Palmer
• Sandra Palmreuter, SLP
• Paradigm Behavioral Health Inc
• Paramount Childrens Therapy Center
• Paramount Rehabilitation Services PC
• Paramount Rehabilitation Services, PC
• Paramount Rehabilitation Services, PC

• Ophthalmology Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.