DR. XIAODUO FAN MD
NPI 1568453074
Psychiatry & Neurology - Psychiatry in Worcester, MA

Q: What is Xiaoduo Fan's NPI number?

The NPI number for Xiaoduo Fan is 1568453074. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Xiaoduo Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Xiaoduo Fan was last updated on November 22, 2020. 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.

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment

365 PLANTATION ST, WORCESTER, MA 01605(508) 860-1260(508) 334-2537 Get Directions Write a Review

NPPES record last updated: November 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2020, Mar 14, 2019, Jan 25, 2017 (3 updates tracked since 2017).

On this page

About Dr. Xiaoduo Fan Md NPPES

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

DR. XIAODUO FAN MD (NPI 1568453074) is an individual psychiatry provider in Worcester, Massachusetts, licensed in Massachusetts (225438) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1568453074

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. XIAODUO FANCredential: MD

Location Address365 PLANTATION STWorcester, MA 01605-2397

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 860-1260

Fax(508) 334-2537

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateNovember 3, 2005

Last NPPES UpdateNovember 22, 20203 updates tracked since enumeration

NPPES CertifiedNovember 22, 2020

✔ NPI 1568453074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MA · 225438

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

365 PLANTATION ST, Worcester, MA 01605

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Other Identifiers 1

Medicaid110077735AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Xiaoduo Fan 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 ID2668403494

PECOS Enrollment IDI20050822001074

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

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 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.

129 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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 $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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

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

AMELIA KULIK PT, DPT

Physical Therapist

365 PLANTATION ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

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 Xiaoduo Fan's NPI number?

The NPI number for Xiaoduo Fan is 1568453074. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Xiaoduo Fan located?

Xiaoduo Fan practices at 365 Plantation St, Worcester, MA 01605. The listed phone number is (508) 860-1260.

What is Xiaoduo Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Xiaoduo Fan enrolled in Medicare?

Yes. Xiaoduo 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 Xiaoduo Fan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Xiaoduo 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.

When was this NPI record last updated?

The NPPES record for Xiaoduo Fan was last updated on November 22, 2020. 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.