TAN KHAC NGUYEN M.D.
NPI 1144273491
Dermatology - Procedural Dermatology in Upland, CA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1310 SAN BERNARDINO RD, SUITE 207, UPLAND, CA 91786(909) 946-8600(909) 946-8604 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tan Khac Nguyen M.d. NPPES

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

TAN KHAC NGUYEN M.D. (NPI 1144273491) is an individual procedural dermatology provider in Upland, California, licensed in California (A70331) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1144273491
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameTAN KHAC NGUYENCredential: M.D.
Location Address1310 SAN BERNARDINO RD, SUITE 207Upland, CA 91786-4979
Mailing Address1310 San Bernardino Rd, Suite 207Upland, CA 91786-4979 · (909) 946-8600 · Fax (909) 946-8604
Fax(909) 946-8604
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 8, 2011
NPI 1144273491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in CA · A70331
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatologyTaxonomy 207N00000X · License A70331 (CA)
1310 SAN BERNARDINO RD, Upland, CA 91786

Other Identifiers 3

OtherP00614352CA · Raillroad Medicare
Medicare UPINH21605CA
Medicare PINWA7033IKCA

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

Tan Khac Nguyen 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 ID5395728190
PECOS Enrollment IDI20040611000811
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 26

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
26,000 services56 patients
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.
1,780 services262 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
889 services66 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
236 services127 patients
Superficial and/or low voltage radiation treatment delivery 77401
Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
218 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
218 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%391 patients5/55-star benchmark: 100%
e-Prescribing
90%434 patients1/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%21 patients
Melanoma: Coordination of Care
100%29 patients
Provide Patients Electronic Access to Their Health Information
91%639 patients4/55-star benchmark: 100%
Psoriasis: Clinical Response to Systemic Medications
100%25 patients
Tobacco Use and Help with Quitting Among Adolescents
100%146 patients5/55-star benchmark: 100%
Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy
100%24 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.

Other Providers at the Same Location NPPES 17

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

Physician Assistant
1310 SAN BERNARDINO RD, STE. 103
UPLAND, CA 91786
Nurse Practitioner (Family)
1310 SAN BERNARDINO RD, 205
UPLAND, CA 91786
Physician Assistant
1310 SAN BERNARDINO RD, SUITE 101
UPLAND, CA 91786
Dermatology
1310 SAN BERNARDINO RD, SUITE 207
UPLAND, CA 91786
Nurse Practitioner (Obstetrics & Gynecology)
1310 SAN BERNARDINO RD
UPLAND, CA 91786
Specialist
1310 SAN BERNARDINO RD
UPLAND, CA 91786
Obstetrics & Gynecology
1310 SAN BERNARDINO RD, SUITE # 201
UPLAND, CA 91786
Dermatology
1310 SAN BERNARDINO RD, SUITE 207
UPLAND, CA 91786

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 Tan Nguyen's NPI number?

The NPI number for Tan Nguyen is 1144273491. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Tan Nguyen located?

Tan Nguyen practices at 1310 San Bernardino Rd Suite 207, Upland, CA 91786. The listed phone number is (909) 946-8600.

What is Tan Nguyen's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Tan Nguyen enrolled in Medicare?

Yes. Tan Nguyen 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 Tan Nguyen was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.