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DR. JON MICHAEL CHAN M.D.
NPI 1053577924
Otolaryngology in Buffalo, NY

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
65 OAKLAND PL, BUFFALO, NY 14222(614) 366-3687 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2025, Dec 21, 2020, Nov 1, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Jon Michael Chan M.d. NPPES

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

DR. JON MICHAEL CHAN M.D. (NPI 1053577924) is an individual otolaryngology provider in Buffalo, New York, licensed in Illinois (036.144383) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053577924
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JON MICHAEL CHANCredential: M.D.
Location Address65 OAKLAND PLBuffalo, NY 14222-2041
Mailing Address65 Oakland PlBuffalo, NY 14222-2041 · (614) 366-3687
Phone(614) 366-3687
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 31, 2008
Last NPPES UpdateSeptember 29, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1053577924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in IL · 036.144383✔ Licensed in OH · 35.120793✔ Licensed in NY · 293812✔ Licensed in PA · MT193950✔ Licensed in ND · 23031
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
65 OAKLAND PL, Buffalo, NY 14222
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13316 Patriot CtHerrin, IL 62948-3782 · Phone (618) 993-0307 · Fax (618) 993-0807
Location 2300 W 10th AveColumbus, OH 43210-1280 · Phone (614) 293-8074 · Fax (614) 293-3193

Other Identifiers 2

MedicaidPENDINGOH
Other293812NY · Nys License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

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

Dr. Jon Michael 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 ID3274760541
PECOS Enrollment IDI20251017004019
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

4

Medicare enrollment records show Jon Chan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Guthrie Medical Group, P.C.
107 mi
Multi-Specialty
130 CENTERWAY
Corning, NY 14830
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • Medicare enrollment name: Guthrie Medical Group PC
  • Also billed through NPI 1952350167 (Pennsylvania)
  • 798 clinicians in this Medicare group
NPI 1134178635 (607) 936-9971
Susquehanna Physician Services
150 mi
Otolaryngology
1705 WARREN AVE, SUITE 204-205
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 16 clinicians in this Medicare group
NPI 1346263266 (570) 320-7474
Rockford Health Physicians
516 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Sanford Medical Center Fargo
921 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

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.
31 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services17 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
18 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14222 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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 Jon Chan's NPI number?

The NPI number for Jon Chan is 1053577924. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Jon Chan located?

Jon Chan practices at 65 Oakland Pl, Buffalo, NY 14222. The listed phone number is (614) 366-3687.

What is Jon Chan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jon Chan enrolled in Medicare?

Yes. Jon Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jon Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Chan reassigns Medicare benefits to 4 organizations: Guthrie Medical Group, P.C. (Corning, NY), Susquehanna Physician Services (Williamsport, PA), Rockford Health Physicians (Rockford, IL) and Sanford Medical Center Fargo (Fargo, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Chan accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Jon Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jon Chan affiliated with any hospitals?

According to CMS data, Jon Chan is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Jon Chan was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.