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

Q: 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.

Q: What is Matthew Fan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Fan was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 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: October 18, 2026.

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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

Phone(817) 735-2400

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

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Other Identifiers 3

Medicare PIN374846YM4ATX

Medicaid340717301TX

Other8ER294TX · Bcbs

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nyc Psychiatric Associates

1,405 mi

Psychiatry

385 5TH AVE RM 1106
New York, NY 10016

Reassigned Medicare billing, New York enrollment
22 clinicians in this Medicare group

NPI 1447850276 (917) 391-0076

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

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.

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH

Pathology (Clinical Pathology/Laboratory Medicine)