Individual provider Active NPI

Christine Lynn Egan, M.D.

  • Dermatology Physician
  • Media, PA
National Provider Identifier
1710987540
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD055965L Issued in PA
Practice address
101 Chesley Dr
Suite 100
Media, PA 19063-1761
Phone
(610) 566-7111
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD055965L PA Primary

Addresses

Primary practice location

101 Chesley Dr
Suite 100
Media, PA 19063-1761

Mailing address

101 Chesley Dr
Suite 100
Media, PA 19063-1761
Phone (610) 566-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100914000225 PA Practitioner - Dermatology 4587648068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology LTDGroup PAC ID 0244120756, 10 clinicians

Practice addresses (Care Compare)

101 Chesley Dr
Suite 100
Media, PA 19063-1761
Phone (610) 566-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.71 of 100Reported as group
Quality
70.4
Promoting interoperability
91
Improvement activities
40
Cost
79.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2570
Removal or shaving of skin growth410
Skin biopsy370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD055965LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology LTD Dermatology CurrentSince Jun 12, 1995 Accepting new patients

Locations

101 Chesley Dr
Media, PA 19063
Phone (484) 621-0082

101 Chesley Dr
Ste 100
Media, PA 19063
Phone (610) 565-2640

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1710987540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR",
            "address_2": "SUITE 100",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "610-566-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR",
            "address_2": "SUITE 100",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "610-566-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD055965L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.