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TIFFANY J FAN M.D.
NPI 1396272076
Obstetrics & Gynecology in Avon, IN

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
1115 RONALD REAGAN PKWY STE 266, AVON, IN 46123(317) 217-2500 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2021, May 12, 2017 (2 updates tracked since 2017).

About Tiffany J Fan M.d. NPPES

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

TIFFANY J FAN M.D. (NPI 1396272076) is an individual obstetrics & gynecology provider in Avon, Indiana, licensed in Indiana (01085447A) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1396272076
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTIFFANY J FANCredential: M.D.
Location Address1115 RONALD REAGAN PKWY STE 266Avon, IN 46123-6911
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 217-2500
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2017
Enumeration DateMay 12, 2017
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1396272076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IN · 01085447A✔ Licensed in PA · MT2013186
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1115 RONALD REAGAN PKWY STE 266, Avon, IN 46123
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 Ostrum StBethlehem, PA 18015-1000 · Phone (305) 343-6619

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Tiffany J 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 ID1951705672
PECOS Enrollment IDI20210803001769
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

2

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

Indiana University Health Care Associates, Inc
9.4 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505
Iu Health Medical Group, LLC
9.5 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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

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.
18 services12 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 5

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

BLAIR S DINA M.D., M.P.H.
Obstetrics & Gynecology
1115 RONALD REAGAN PKWY STE 266
AVON, IN 46123
Hendricks County (317) 217-2500
CHRISTIAN C DAWES DO
Obstetrics & Gynecology
1115 RONALD REAGAN PKWY STE 266
AVON, IN 46123
Hendricks County (317) 217-2500
DR. MICHAEL CHARLES MONDHEIM DO
Obstetrics & Gynecology
1115 RONALD REAGAN PKWY STE 266
AVON, IN 46123
Hendricks County (317) 217-2500
KYLEE MCMANN PA-C
Physician Assistant
1115 RONALD REAGAN PKWY STE 266
AVON, IN 46123
Hendricks County (317) 217-2500
AMY WYNN HARDIN DO
Obstetrics & Gynecology
1115 RONALD REAGAN PKWY STE 266
AVON, IN 46123
Hendricks County (317) 217-2500

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 Tiffany Fan's NPI number?

The NPI number for Tiffany Fan is 1396272076. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Tiffany Fan located?

Tiffany Fan practices at 1115 Ronald Reagan Pkwy Ste 266, Avon, IN 46123. The listed phone number is (317) 217-2500.

What is Tiffany Fan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tiffany Fan enrolled in Medicare?

Yes. Tiffany 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.

Which organizations bill Medicare for Tiffany Fan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Fan reassigns Medicare benefits to 2 organizations: Indiana University Health Care Associates, Inc (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Fan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Fan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Tiffany 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 Tiffany Fan affiliated with any hospitals?

According to CMS data, Tiffany Fan is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Tiffany Fan was last updated on August 4, 2021. 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.