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JOSE MARCELINO J DONATO TANA MD
NPI 1174026850
Ophthalmology in Pago Pago, AS

Active since March 09, 2018PECOS Enrolled
96799 TURNER DRIVE, PAGO PAGO, AS 96799(684) 633-1222(684) 633-2893 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jose Marcelino J Donato Tana Md NPPES

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

JOSE MARCELINO J DONATO TANA MD (NPI 1174026850) is an individual ophthalmology provider in Pago Pago, American Samoa, licensed in American Samoa (4090C) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174026850
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSE MARCELINO J DONATO TANACredential: MD
Location Address96799 TURNER DRIVEPago Pago, AS 96799
Mailing AddressPo Box LbjPago Pago, AS 96799-0010 · (684) 633-1222 · Fax (684) 633-2893
Phone(684) 633-1222
Fax(684) 633-2893
Sole ProprietorNo
Enumeration DateMarch 9, 2018
✔ NPI 1174026850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AS · 4090C
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Marcelino J Donato Tana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jose Tana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Samoa Medical Center
Internal Medicine
1TURNER DR
Pago, AS 96799
  • Reassigned Medicare billing, American Samoa enrollment
  • 100 clinicians in this Medicare group
NPI 1043085681 (684) 633-1222

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 96799 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

MS. HONG SU MBBS. ENT DIPLOMA
Otolaryngology
96799 TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
MRS. FIONA MELISSA TRAILL
Emergency Medicine
96799 TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
CRISTINA ROBLE CASTANEDA MD
Pediatrics
96799 TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
GARY CRUZ BERNABE MD
Radiology (Diagnostic Radiology)
96799 TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
MS. SUSANA MARIETA PENE MBBS
Internal Medicine
96799 TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
AMELITA LOURDES P MEJIA MD
Pediatrics
96799 TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
MR. DAVID VERGARA JR. MD
Anesthesiology
96799 TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
MRS. LUZVIMINDA ADRIANO MD
Obstetrics & Gynecology
96799 TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222

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 Jose Tana's NPI number?

The NPI number for Jose Tana is 1174026850. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Where is Jose Tana located?

Jose Tana practices at 96799 Turner Drive, Pago Pago, AS 96799. The listed phone number is (684) 633-1222.

What is Jose Tana's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jose Tana enrolled in Medicare?

Yes. Jose Tana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Tana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Tana reassigns Medicare benefits to American Samoa Medical Center (Pago, AS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Tana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Tana was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.