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MRS. ELLEN PAN M.D.
NPI 1003813247
Ophthalmology in Brooklyn, NY

Active since July 01, 2005PECOS EnrolledCLIA 33D2121974 · Waiver
0/100
CMS Quality Rating
8301 BAY PARKWAY, SUITE 103, BROOKLYN, NY 11214(718) 236-7772(718) 256-4178 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Ellen Pan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELLEN PAN M.D. (NPI 1003813247) is an individual ophthalmology provider in Brooklyn, New York, licensed in New York (136911-1) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through November 16, 2026.

NPPES Registry Identity

NPI1003813247
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMRS. ELLEN PANCredential: M.D.
Location Address8301 BAY PARKWAY, SUITE 103Brooklyn, NY 11214
Mailing Address8301 Bay Parkway, Suite 103Brooklyn, NY 11214 · (718) 236-7772 · Fax (718) 256-4178
Phone(718) 236-7772
Fax(718) 256-4178
Sole ProprietorYes
Enumeration DateJuly 1, 2005
Last NPPES UpdateFebruary 9, 2011
✔ NPI 1003813247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 136911-1
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
8301 BAY PARKWAY, Brooklyn, NY 11214
Open in Google Maps ↗

Other Identifiers 2

Medicaid05589708-9NY
Medicare PIN48A701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ellen Pan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2121974

Ellen Pan, MD, PC · Brooklyn, NY
Active · expires Nov 16, 2026
CLIA Number33D2121974
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDr. Ellen Pan
Laboratory Phone(718) 256-8323
Laboratory LocationEllen Pan, MD, PC8301 Bay Parkway - Apt 103, Brooklyn, NY 11214
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
319 services303 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
273 services256 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
214 services211 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
67 services67 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
59 services44 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
57 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Pan's NPI number?

The NPI number for Ellen Pan is 1003813247. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Ellen Pan located?

Ellen Pan practices at 8301 Bay Parkway Suite 103, Brooklyn, NY 11214. The listed phone number is (718) 236-7772.

What is Ellen Pan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ellen Pan enrolled in Medicare?

Yes. Ellen Pan is registered in the Medicare PECOS enrollment system.

Does Ellen Pan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2121974) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ellen Pan was last updated on February 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.