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ELLEN FAN M.D.
NPI 1134153646
Psychiatry & Neurology - Geriatric Psychiatry in Plano, TX

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3308 PRESTON RD, SUITE 350 BOX 242, PLANO, TX 75093(972) 769-8572(972) 769-8591 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ellen Fan M.d. NPPES

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

ELLEN FAN M.D. (NPI 1134153646) is an individual geriatric psychiatry provider in Plano, Texas, licensed in Texas (K8897) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1998).

NPPES Registry Identity

NPI1134153646
Entity TypeIndividualFemale
Primary Taxonomy2084P0805X
Provider Legal NameELLEN FANCredential: M.D.
Location Address3308 PRESTON RD, SUITE 350 BOX 242Plano, TX 75093-7453
Mailing Address3308 Preston Rd, Suite 350 Box 242Plano, TX 75093-7453 · (972) 769-8572 · Fax (972) 769-8591
Phone(972) 769-8572
Fax(972) 769-8591
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1998
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 5, 2013
✔ NPI 1134153646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in TX · K8897
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
3308 PRESTON RD, Plano, TX 75093
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Other Identifiers 4

Medicare PIN8E0503TX
Medicare UPINH91609TX
Medicaid179655901TX
Medicare PINTXB100819TX

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

Ellen Fan 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 ID5193793487
PECOS Enrollment IDI20050512001030
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
151 services91 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
142 services43 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
129 services47 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
87 services87 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
39 services27 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%435 patients5/55-star benchmark: 100%
Assessment of Mood Disorders and Psychosis for Patients with Parkinson's Disease
100%23 patients
Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management
100%400 patients
Dementia: Education and Support of Caregivers for Patients with Dementia
100%397 patients
Dementia: Functional Status Assessment
100%400 patients
Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia
100%400 patients
Documentation of Current Medications in the Medical Record
100%1,410 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%457 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
100%145 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$4.62 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,304 services$0.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. PAUL S DERESKA D.O.
Anesthesiology
3308 PRESTON RD, STE. 350-283
PLANO, TX 75093
Collin County (214) 471-5975
DALLAS SENSORY PAIN CLINIC PHYSICIANS, PLLC
Anesthesiology (Pain Medicine)
3308 PRESTON RD, STE 350-287
PLANO, TX 75093
Collin County (972) 372-4675
NORTH TEXAS EYE & FACIAL SPECIALISTS PLLC
Ophthalmology
3308 PRESTON RD, STE 350-131
PLANO, TX 75093
Collin County (972) 596-8000
DR. ADAM B CARY MC
Anesthesiology
3308 PRESTON RD, STE 350-283
PLANO, TX 75093
Collin County (214) 471-5975
SPRING WILLIAMS CRNA
Nurse Anesthetist, Certified Registered
3308 PRESTON RD, SUITE 350-283
PLANO, TX 75093
Collin County (317) 435-0776
DR. NICHOLAS M. ARIZPE M.D.
Anesthesiology
3308 PRESTON RD, SUITE 350-283
PLANO, TX 75093
Collin County (214) 471-5975
DALLAS MRI CENTER
Radiology (Diagnostic Radiology)
3308 PRESTON RD, SUITE 350204
PLANO, TX 75093
Collin County (972) 960-1000
MRS. MEGAN O'LOUGHLIN CRNA
Nurse Anesthetist, Certified Registered
3308 PRESTON RD, STE 350-283
PLANO, TX 75093
Collin County (612) 867-4211

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 Ellen Fan's NPI number?

The NPI number for Ellen Fan is 1134153646. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Ellen Fan located?

Ellen Fan practices at 3308 Preston Rd Suite 350 Box 242, Plano, TX 75093. The listed phone number is (972) 769-8572.

What is Ellen Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Ellen Fan enrolled in Medicare?

Yes. Ellen 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 Ellen Fan was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.