Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHAEL H. CHAN
NPI 1093769317
Dentist - Oral and Maxillofacial Surgery in Brooklyn, NY

Q: What is Michael Chan's NPI number?

The NPI number for Michael Chan is 1093769317. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Michael Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Michael Chan was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2006PECOS Enrolled

800 POLY PL, BROOKLYN, NY 11209(718) 630-3651 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael H. Chan NPPES

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

MICHAEL H. CHAN (NPI 1093769317) is an individual oral and maxillofacial surgery provider in Brooklyn, New York, licensed in New York (045149) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1093769317

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMICHAEL H. CHAN

Location Address800 POLY PLBrooklyn, NY 11209-7104

Mailing Address161 W 61st StNew York, NY 10023-7462

Phone(718) 630-3651

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateMay 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1093769317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NY · 045149

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

800 POLY PL, Brooklyn, NY 11209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael H. Chan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022515428

PECOS Enrollment IDI20251010001360

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 11209 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

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.

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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.

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