CHARLIE C PAN MD
NPI 1407948805
Radiology - Radiation Oncology in Ann Arbor, MI

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
1500 EAST MEDICAL CENTER DR, B2 FLOOR UNIVERSITY HOSPITAL RM C490, ANN ARBOR, MI 48109(734) 936-4300 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlie C Pan Md NPPES

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

CHARLIE C PAN MD (NPI 1407948805) is an individual radiation oncology provider in Ann Arbor, Michigan, licensed in Wisconsin (54475-20) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1407948805
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameCHARLIE C PANCredential: MD
Location Address1500 EAST MEDICAL CENTER DR, B2 FLOOR UNIVERSITY HOSPITAL RM C490Ann Arbor, MI 48109-0010
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1999
Enumeration DateSeptember 29, 2006
Last NPPES UpdateDecember 16, 2019
NPI 1407948805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses Licensed in WI · 54475-20 Licensed in MI · 4301074664
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1500 EAST MEDICAL CENTER DR, Ann Arbor, MI 48109

Secondary Practice Location 1

Location 11580 Commanche AveGreen Bay, WI 54313-5751 · Phone (920) 435-8326 · Fax (920) 430-4659

Other Identifiers 1

Medicaid4660707MI

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 and accepts Medicare assignment

Charlie C Pan Md 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 ID8921077165
PECOS Enrollment IDI20040924001076, I20101108001414
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 12

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
305 services55 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
88 services27 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
59 services32 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
58 services26 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.
38 services23 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims315 services$4.14 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,129 services$0.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109
Anesthesiology
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Physician Assistant
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP F
ANN ARBOR, MI 48109
Nurse Practitioner
1500 EAST MEDICAL CENTER DR, 3RD FLOOR C.S. MOTT CHILDREN'S HOSPITAL RECP C
ANN ARBOR, MI 48109
Nurse Practitioner (Critical Care Medicine)
1500 EAST MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDRENS HOSPITAL RM 525
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI 48109
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN RECP B
ANN ARBOR, MI 48109
Pediatrics (Pediatric Hematology-Oncology)
1500 EAST MEDICAL CENTER DR, 7TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI 48109

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 Charlie Pan's NPI number?

The NPI number for Charlie Pan is 1407948805. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Charlie Pan located?

Charlie Pan practices at 1500 East Medical Center Dr B2 Floor University Hospital Rm C490, Ann Arbor, MI 48109. The listed phone number is (734) 936-4300.

What is Charlie Pan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Charlie Pan enrolled in Medicare?

Yes. Charlie Pan 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 Charlie Pan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Oscar Health Maintenance Organization of Florida and 1 other insurer list Charlie Pan 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 Charlie Pan affiliated with any hospitals?

According to CMS data, Charlie Pan is affiliated with Bellin Memorial Hospital and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Charlie Pan was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.