YAO-SHAN FAN MD, PHD
NPI 1326098500
Pathology - Clinical Pathology/Laboratory Medicine in Jacksonville, FL

Q: What is Yao-shan Fan's NPI number?

The NPI number for Yao-shan Fan is 1326098500. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Yao-shan Fan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Q: When was this NPI record last updated?

The NPPES record for Yao-shan Fan was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 11, 2006PECOS EnrolledAccepts Medicare Assignment

76.2/100

CMS Quality Rating

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2020, Nov 4, 2020, Jul 1, 2020 and 2 more (5 updates tracked since 2019).

On this page

About Yao-shan Fan Md, Phd NPPES

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

YAO-SHAN FAN MD, PHD (NPI 1326098500) is an individual clinical pathology/laboratory medicine provider in Jacksonville, Florida, licensed in Florida (ME133010) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1326098500

Entity TypeIndividualMale

Primary Taxonomy207ZP0105X

Provider Legal NameYAO-SHAN FANCredential: MD, PHD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 1978

Enumeration DateMay 11, 2006

Last NPPES UpdateNovember 24, 20205 updates tracked since enumeration

NPPES CertifiedNovember 24, 2020

✔ NPI 1326098500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

License✔ Licensed in FL · ME133010

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License MFC1592 (FL)

Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X · License ME133010 (FL)

4500 SAN PABLO RD S, Jacksonville, FL 32224

Open in Google Maps ↗

Secondary Practice Location 1

Location 11601 NW 12th Ave, BOX 016960 M851Miami, FL 33136-1005 · Phone (305) 243-7688 · Fax (305) 243-8470

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Sanford Health Plan.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

Yao-shan Fan Md, Phd 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 ID3577538958

PECOS Enrollment IDI20040830000435

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 Reassignments

Medicare enrollment records show Yao-shan Fan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Jacksonville

0.2 mi

Health Service

4500 SAN PABLO RD S
Jacksonville, FL 32224

Reassigned Medicare billing, Florida enrollment
1,828 clinicians in this Medicare group

NPI 1174143986 (904) 953-2000

University Of Miami

249 mi

Ambulatory Surgical

7103 FAIRWAY DR
Palm Beach Gardens, FL 33418

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1346317039 (561) 515-1500

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

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.

Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure 88377

Microscopic genetic analysis of tissue is a detailed lab process that examines your cells' genetic material. If more than one stain procedure is needed, it's termed an 'additional multiplex stain procedure'. This helps to highlight different components within your cells, aiding in accurate diagnosis and treatment planning.

55 services15 patients

Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure 88377

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100151

Location4500 San Pablo RdJacksonville, FL 32224 · Duval County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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.

76.2/100

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

Scored as part of a group practice

Quality

69.33

Promoting Interoperability

100

Improvement Activities

Cost

51.32

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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant