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DR. PEIEN FAN M.D.
NPI 1346504511
Psychiatry & Neurology - Neurology in Mercer Island, WA

Active since July 02, 2012PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
4736 91ST AVE SE, MERCER ISLAND, WA 98040(773) 703-6770 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2024, May 12, 2020 (2 updates tracked since 2020).

About Dr. Peien Fan M.d. NPPES

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

DR. PEIEN FAN M.D. (NPI 1346504511) is an individual neurology provider in Mercer Island, Washington, licensed in Washington (MD60752943) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2012).

NPPES Registry Identity

NPI1346504511
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PEIEN FANCredential: M.D.
Location Address4736 91ST AVE SEMercer Island, WA 98040-4440
Mailing Address4736 91st Ave SeMercer Island, WA 98040-4440 · (773) 703-6770
Phone(773) 703-6770
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2012
Enumeration DateJuly 2, 2012
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1346504511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · MD60752943
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4736 91ST AVE SE, Mercer Island, WA 98040
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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, HealthPartners, Providence Health Plan 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. Peien Fan 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 ID941507461
PECOS Enrollment IDI20171120002622
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 9

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.

Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) G0453
Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.
215 services46 patients
Placement of skin electrodes and measurement of stimulated sites on arms and legs 95938
This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.
47 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Needle measurement of electrical activity in arm or leg muscles, 2 extremities 95861
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. It helps diagnose conditions affecting nerves or muscles. It's generally painless, though you may feel some discomfort.
34 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services24 patients

Hospital Affiliations CMS Care Compare 4

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Midwest Surgical Hospital LLC

Acute Care Hospitals · Omaha, NE
OwnershipPhysician
CMS Certification Number280131
Location7915 Farnam DriveOmaha, NE 68114 · Douglas County

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98040 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

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 Peien Fan's NPI number?

The NPI number for Peien Fan is 1346504511. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Peien Fan located?

Peien Fan practices at 4736 91st Ave SE, Mercer Island, WA 98040. The listed phone number is (773) 703-6770.

What is Peien Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Peien Fan enrolled in Medicare?

Yes. Peien Fan 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.

What insurance does Peien Fan accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Providence Health Plan, Sanford Health Plan and Select Health list Peien Fan 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 Peien Fan affiliated with any hospitals?

According to CMS data, Peien Fan is affiliated with East Jefferson General Hospital, M Health Fairview University Of Mn, Midwest Surgical Hospital LLC and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Peien Fan was last updated on August 13, 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.