DR. AMY TAN MD
NPI 1235176611
Surgery in Goldendale, WA

Q: What is Amy Tan's NPI number?

The NPI number for Amy Tan is 1235176611. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is Amy Tan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Tan was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 02, 2006PECOS EnrolledAccepts Medicare Assignment

310 S ROOSEVELT ST, GOLDENDALE, WA 98620(509) 773-1007 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 9, 2024, May 19, 2021, Jan 7, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Amy Tan Md NPPES

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

DR. AMY TAN MD (NPI 1235176611) is an individual surgery provider in Goldendale, Washington, licensed in Maine (MD16499) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Androscoggin Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235176611

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. AMY TANCredential: MD

Location Address310 S ROOSEVELT STGoldendale, WA 98620

Mailing Address12 Landing Rd SHancock, ME 04640-3522

Phone(509) 773-1007

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 2, 2006

Last NPPES UpdateFebruary 9, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2024

✔ NPI 1235176611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in ME · MD16499✔ Licensed in NH · 19928✔ Licensed in MO · 2021025788

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

310 S ROOSEVELT ST, Goldendale, WA 98620

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Secondary Practice Locations 3

Location 159 Page Hill RdBerlin, NH 03570-3531 · Phone (603) 326-5644

Location 237 Palmer St Ste 3Calais, ME 04619-1341 · Phone (207) 661-2018

Location 31100 N Kentucky AveWest Plains, MO 65775-2029 · Phone (417) 257-9111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Arkansas Blue Cross and Blue Shield, Harvard Pilgrim Health Care 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

Dr. Amy Tan 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 ID3577542877

PECOS Enrollment IDI20191205001469, I20230204000407

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.

Hospital Affiliations CMS Care Compare

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

Androscoggin Valley Hospital

Critical Access Hospitals · Berlin, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301310

Location59 Page Hill RoadBerlin, NH 03570 · Coos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98620 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 10

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

SANDRA LEE ROBERTS FNP

Nurse Practitioner (Family)