DR. FANG YUAN MD
NPI 1174151971
Surgery - Vascular Surgery in Davenport, IA

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
1230 E RUSHOLME ST STE 303, DAVENPORT, IA 52803(563) 421-4320(563) 421-4329 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2025, Apr 1, 2020, Mar 29, 2020 (3 updates tracked since 2020).

About Dr. Fang Yuan Md NPPES

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

DR. FANG YUAN MD (NPI 1174151971) is an individual vascular surgery provider in Davenport, Iowa, licensed in Iowa (MD54460) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of University Of Virginia School Of Medicine (2020).

NPPES Registry Identity

NPI1174151971
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. FANG YUANCredential: MD
Location Address1230 E RUSHOLME ST STE 303Davenport, IA 52803-2400
Mailing Address1230 E Rusholme St Ste 303Davenport, IA 52803-2400 · (563) 421-4320 · Fax (563) 421-4329
Fax(563) 421-4329
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2020
Enumeration DateMarch 29, 2020
Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1174151971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IA · MD54460
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1230 E RUSHOLME ST STE 303, Davenport, IA 52803

Accepted Insurance

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

Dr. Fang Yuan 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 ID3274038294
PECOS Enrollment IDI20250922003692, I20260312000086
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 Fang Yuan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
1227 E RUSHOLME ST
Davenport, IA 52803
  • Reassigned Medicare billing, Iowa and Illinois enrollments
  • Also billed through NPI 1427132604 (Illinois)
  • 358 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140275
Location801 Illini DrSilvis, IL 61282 · Rock Island County
Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52803 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 2

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

Physician Assistant
1230 E RUSHOLME ST STE 303
DAVENPORT, IA 52803
Neurological Surgery
1230 E RUSHOLME ST STE 303
DAVENPORT, IA 52803

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 Fang Yuan's NPI number?

The NPI number for Fang Yuan is 1174151971. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Fang Yuan located?

Fang Yuan practices at 1230 E Rusholme St Ste 303, Davenport, IA 52803. The listed phone number is (563) 421-4320.

What is Fang Yuan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Fang Yuan enrolled in Medicare?

Yes. Fang Yuan 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.

Which organization bills Medicare for Fang Yuan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fang Yuan reassigns Medicare benefits to Genesis Health System (Davenport, IA). 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 Fang Yuan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fang Yuan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Fang Yuan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fang Yuan affiliated with any hospitals?

According to CMS data, Fang Yuan is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini and Genesis Medical Center-Davenport.

When was this NPI record last updated?

The NPPES record for Fang Yuan was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.