EGBERT AUNG KYAING TAN
NPI 1245427111
Psychiatry & Neurology - Psychiatry in Green Bay, WI

Active since September 25, 2007PECOS Enrolled
2640 W POINT RD, GREEN BAY, WI 54304(920) 490-3790 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Egbert Aung Kyaing Tan NPPES

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

EGBERT AUNG KYAING TAN (NPI 1245427111) is an individual psychiatry provider in Green Bay, Wisconsin, licensed in Wisconsin (28445-20) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1245427111
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameEGBERT AUNG KYAING TAN
Location Address2640 W POINT RDGreen Bay, WI 54304-1344
Mailing Address899 Post RdScarsdale, NY 10583-5517 · (914) 725-5442
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateSeptember 25, 2007
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1245427111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in WI · 28445-20 Licensed in NY · 183140
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.
2640 W POINT RD, Green Bay, WI 54304

Other Names 1

Professional Name (2)Egbert A Tan M.d.

Secondary Practice Locations 2

Location 1899 Post RdScarsdale, NY 10583-5517 · Phone (914) 725-5542
Location 23150 Gershwin DrGreen Bay, WI 54311-4328 · Phone (920) 391-4700

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Egbert Aung Kyaing Tan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537330618
PECOS Enrollment IDI20130827000937
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

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.
130 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Psychologist
2640 W POINT RD
GREEN BAY, WI 54304
Counselor (Professional)
2640 W POINT RD
GREEN BAY, WI 54304
Counselor (Addiction (Substance Use Disorder))
2640 W POINT RD
GREEN BAY, WI 54304
Social Worker (Clinical)
2640 W POINT RD, ONEIDA BEHAVIORAL HEALTH
GREEN BAY, WI 54304
Psychiatry & Neurology (Psychiatry)
2640 W POINT RD
GREEN BAY, WI 54304
Psychologist
2640 W POINT RD
GREEN BAY, WI 54304
Health Educator
2640 W POINT RD
GREEN BAY, WI 54304
Counselor (Addiction (Substance Use Disorder))
2640 W POINT RD
GREEN BAY, WI 54304

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 Egbert Tan's NPI number?

The NPI number for Egbert Tan is 1245427111. It was assigned to this individual provider in the NPPES registry on September 25, 2007. The provider is also known as Egbert A Tan M.D..

Where is Egbert Tan located?

Egbert Tan practices at 2640 W Point Rd, Green Bay, WI 54304. The listed phone number is (920) 490-3790.

What is Egbert Tan's specialty?

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

Is Egbert Tan enrolled in Medicare?

Yes. Egbert Tan is registered in the Medicare PECOS enrollment system.

What insurance does Egbert Tan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Network Health and Quartz and 1 other insurer list Egbert Tan 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.

When was this NPI record last updated?

The NPPES record for Egbert Tan was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.