MATTHEW NAN FAN MD
NPI 1063777860
Psychiatry & Neurology - Psychiatry in Fort Worth, TX

Active since July 08, 2012PECOS EnrolledAccepts Medicare Assignment
855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2400 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Nan Fan Md NPPES

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

MATTHEW NAN FAN MD (NPI 1063777860) is an individual psychiatry provider in Fort Worth, Texas, licensed in Texas (44743) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063777860
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMATTHEW NAN FANCredential: MD
Location Address855 MONTGOMERY STFort Worth, TX 76107-2553
Mailing AddressPo Box 99335Fort Worth, TX 76199-0335
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 8, 2012
Last NPPES UpdateMarch 2, 2015
NPI 1063777860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in TX · 44743
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 0116025230 (VA), 44743 (TX)
855 MONTGOMERY ST, Fort Worth, TX 76107

Other Identifiers 3

Medicare PIN374846YM4ATX
Medicaid340717301TX
Other8ER294TX · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Nan Fan Md 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 ID1658341839
PECOS Enrollment IDI20220420002109
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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
$171.07 typical visit price
range $56.47 – $171.07
Typical copayment $42.76 (range $14.11 – $42.76)
Most-billed visit code 99205
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 20

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

Pathology (Clinical Pathology/Laboratory Medicine)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Family Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Dermatology
855 MONTGOMERY ST
FORT WORTH, TX 76107
Psychiatry & Neurology (Child & Adolescent Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Psychiatry & Neurology (Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Neuromusculoskeletal Medicine & OMM
855 MONTGOMERY ST
FORT WORTH, TX 76107
Student in an Organized Health Care Education/Training Program
855 MONTGOMERY ST
FORT WORTH, TX 76107
Physician Assistant
855 MONTGOMERY ST
FORT WORTH, TX 76107

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 Matthew Fan's NPI number?

The NPI number for Matthew Fan is 1063777860. It was assigned to this individual provider in the NPPES registry on July 8, 2012.

Where is Matthew Fan located?

Matthew Fan practices at 855 Montgomery St, Fort Worth, TX 76107. The listed phone number is (817) 735-2400.

What is Matthew Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Matthew Fan enrolled in Medicare?

Yes. Matthew Fan 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.

When was this NPI record last updated?

The NPPES record for Matthew Fan was last updated on March 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.