CAROLYN ANNE CHAN M.D.
NPI 1184019770
Psychiatry & Neurology - Psychiatry in Cincinnati, OH

Q: What is Carolyn Chan's NPI number?

The NPI number for Carolyn Chan is 1184019770. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Q: What is Carolyn Chan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Chan was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment

73.56/100

CMS Quality Rating

3131 HARVEY AVE STE 104, CINCINNATI, OH 45229(513) 585-8227 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2023, Jun 22, 2023, Jul 7, 2020 and 4 more (7 updates tracked since 2018).

On this page

About Carolyn Anne Chan M.d. NPPES

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

CAROLYN ANNE CHAN M.D. (NPI 1184019770) is an individual psychiatry provider in Cincinnati, Ohio, licensed in Ohio (35.132746) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1184019770

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameCAROLYN ANNE CHANCredential: M.D.

Location Address3131 HARVEY AVE STE 104Cincinnati, OH 45229-3006

Mailing Address3131 Harvey Ave Ste 104Cincinnati, OH 45229-3006 · (513) 585-8227

Phone(513) 585-8227

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2015

Enumeration DateApril 1, 2015

Last NPPES UpdateJuly 11, 20237 updates tracked since enumeration

NPPES CertifiedJuly 11, 2023

✔ NPI 1184019770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in OH · 35.132746

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 64945 (CT), 35.132746 (OH)

3131 HARVEY AVE STE 104, Cincinnati, OH 45229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.Insurance ›

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

Carolyn Anne Chan 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 ID5496037491

PECOS Enrollment IDI20180510000953, I20200715002484

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 2

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.

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.

26 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360003

Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

73.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.84

Promoting Interoperability

Improvement Activities

Cost

51.43

Other Providers at the Same Location NPPES 7

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

TENESSA KAY JORDAN BSN

Registered Nurse (Addiction (Substance Use Disorder))