GAVIN TANG
NPI 1407653009
Physician Assistant in Reston, VA

Active since March 01, 2025PECOS Enrolled
1850 TOWN CENTER PKWY, RESTON, VA 20190(703) 689-9000 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Mar 1, 2025 (2 updates tracked since 2025).

About Gavin Tang NPPES

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

GAVIN TANG (NPI 1407653009) is an individual physician assistant in Reston, Virginia and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407653009
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGAVIN TANG
Location Address1850 TOWN CENTER PKWYReston, VA 20190-3204
Mailing Address5220 Foxon RdVirginia Beach, VA 23464 · (757) 754-0133
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 1, 2025
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1407653009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1850 TOWN CENTER PKWY, Reston, VA 20190

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gavin Tang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587154406
PECOS Enrollment IDI20251118001971
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

General Practice
1850 TOWN CENTER PKWY
RESTON, VA 20190
Pathology (Anatomic Pathology & Clinical Pathology)
1850 TOWN CENTER PKWY
RESTON, VA 20190
Physical Medicine & Rehabilitation
1850 TOWN CENTER PKWY
RESTON, VA 20190
Occupational Therapist
1850 TOWN CENTER PKWY
RESTON, VA 20190
Emergency Medicine
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Physical Medicine & Rehabilitation
1850 TOWN CENTER PKWY
RESTON, VA 20190
Anesthesiology
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Nurse Anesthetist, Certified Registered
1850 TOWN CENTER PKWY
RESTON, VA 20190

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 Gavin Tang's NPI number?

The NPI number for Gavin Tang is 1407653009. It was assigned to this individual provider in the NPPES registry on March 1, 2025.

Where is Gavin Tang located?

Gavin Tang practices at 1850 Town Center Pkwy, Reston, VA 20190. The listed phone number is (703) 689-9000.

What is Gavin Tang's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gavin Tang enrolled in Medicare?

Yes. Gavin Tang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gavin Tang was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.