MS. THERESA CHAN M.D.
NPI 1043254576
Family Medicine in Medford, OR

Q: What is Theresa Chan's NPI number?

The NPI number for Theresa Chan is 1043254576. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Theresa Chan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Chan was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment

2825 E BARNETT ROAD, ROGUE VALLEY MEDICAL CENTER, MEDFORD, OR 97504(541) 789-7000 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ms. Theresa Chan M.d. NPPES

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

MS. THERESA CHAN M.D. (NPI 1043254576) is an individual family medicine provider in Medford, Oregon, licensed in Oregon (MD152431) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2001).

NPPES Registry Identity

NPI1043254576

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. THERESA CHANCredential: M.D.

Location Address2825 E BARNETT ROAD, ROGUE VALLEY MEDICAL CENTERMedford, OR 97504

Mailing Address2640 E Barnett Road, #e-333 Southern Oregon Hospitalists, PcMedford, OR 97504 · (541) 282-6770 · Fax (541) 282-6771

Phone(541) 789-7000

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2001

Enumeration DateJune 15, 2006

Last NPPES UpdateJune 23, 2011

✔ NPI 1043254576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · MD152431✔ Licensed in CA · A83176

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2825 E BARNETT ROAD, Medford, OR 97504

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Other Identifiers 4

Medicaid00A831760CA

Medicare ID-Type Unspecified00A831761CA

Medicare PINR158469OR

Medicare UPINI24889CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Theresa Chan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618929217

PECOS Enrollment IDI20050211000202

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.

Medicare Billing Reassignments

Medicare enrollment records show Theresa Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Open Door Community Health Centers

80 mi

Federally Qualified Health Center (FQHC)

550 E WASHINGTON BLVD
Crescent City, CA 95531

Reassigned Medicare billing, California enrollment
175 clinicians in this Medicare group

NPI 1497840656 (707) 465-6925

Sutter Bay Medical Foundation

268 mi

Multi-Specialty

1315 ALHAMBRA BLVD STE 210
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1003267196 (916) 732-4380

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services83 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE M MONDESI-GARRIDO MD

Hospitalist