DIANA PAN
NPI 1447770680
Optometrist in Flushing, NY

Active since June 20, 2017PECOS Enrolled
13503B ROOSEVELT AVE, FLUSHING, NY 11354(718) 961-9558 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2022, Mar 17, 2018, Jun 20, 2017 (3 updates tracked since 2017).

About Diana Pan NPPES

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

DIANA PAN (NPI 1447770680) is an individual optometrist in Flushing, New York, licensed in New York (008608) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447770680
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDIANA PAN
Location Address13503B ROOSEVELT AVEFlushing, NY 11354-5305
Mailing Address15816 79th Ave Apt N307Fresh Meadows, NY 11366-1098 · (516) 459-1342
Sole ProprietorNo
Enumeration DateJune 20, 2017
Last NPPES UpdateJuly 11, 20223 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
✔ NPI 1447770680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 008608
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
13503B ROOSEVELT AVE, Flushing, NY 11354

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignment

Medicare enrollment records show Diana Pan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
28 ROEBLING ST
Brooklyn, NY 11211
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 Diana Pan's NPI number?

The NPI number for Diana Pan is 1447770680. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Diana Pan located?

Diana Pan practices at 13503B Roosevelt Ave, Flushing, NY 11354. The listed phone number is (718) 961-9558.

What is Diana Pan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Diana Pan enrolled in Medicare?

Yes. Diana Pan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diana Pan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Pan reassigns Medicare benefits to Diana Pan Optometrist PC (Brooklyn, NY). The 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 Diana Pan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Pan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Diana 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.

When was this NPI record last updated?

The NPPES record for Diana Pan was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.