ADDISON CHAN
NPI 1568791994
Emergency Medicine in Modesto, CA

Active since December 14, 2009PECOS EnrolledAccepts Medicare Assignment
1700 COFFEE RD, EMERGENCY DEPARTMENT, MODESTO, CA 95355(209) 526-4500 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 13, 2023, Jan 24, 2023, Apr 24, 2020 (3 updates tracked since 2020).

About Addison Chan NPPES

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

ADDISON CHAN (NPI 1568791994) is an individual emergency medicine provider in Modesto, California, licensed in Pennsylvania (OS022272) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Clear Lake, and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1568791994
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameADDISON CHAN
Location Address1700 COFFEE RD, EMERGENCY DEPARTMENTModesto, CA 95355-2803
Mailing Address4012 Wild Poppy CtModesto, CA 95356-8793 · (831) 239-8371
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 14, 2009
Last NPPES UpdateFebruary 13, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
✔ NPI 1568791994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · OS022272✔ Licensed in TX · R7410✔ Licensed in CA · 20A11051
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1700 COFFEE RD, Modesto, CA 95355

Secondary Practice Location 1

Location 11200 S Cedar Crest BlvdAllentown, PA 18103-6202 · Phone (484) 862-3232

Accepted 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

Addison Chan 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 ID8729272216
PECOS Enrollment IDI20190104001362
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

10

Medicare enrollment records show Addison Chan reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1700 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
Rural Health
95 2ND ST NW
Beach, ND 58621
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1992947956 (North Dakota)
  • 401 clinicians in this Medicare group
Emergency Medicine
2201 CLEAR CREEK RD
Killeen, TX 76549
  • Reassigned Medicare billing, Texas enrollment
  • 387 clinicians in this Medicare group
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
Emergency Medicine
700 E MARSHALL AVE
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 154 clinicians in this Medicare group
Emergency Medicine
700 E MARSHALL AVE
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 272 clinicians in this Medicare group
Emergency Medicine
4500 E SAM HOUSTON PKWY S
Pasadena, TX 77505
  • Reassigned Medicare billing, Texas enrollment
  • 644 clinicians in this Medicare group
2,302 mi
Emergency Medicine
10461 QUALITY DR
Spring Hill, FL 34609
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group
Emergency Medicine
3001 W. DR. MARTIN LUTHER KING JR. BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 161 clinicians in this Medicare group
Emergency Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 158 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services40 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
30 services29 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450617
Location500 W Medical Center BlvdWebster, TX 77598 · Harris County
Emergency services Birthing friendly

Valley Regional Medical Center

Acute Care Hospitals · Brownsville, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450662
Location100 A Alton GloorBrownsville, TX 78526 · Cameron County
Emergency services Birthing friendly

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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.

Radiology (Radiation Oncology)
1700 COFFEE RD
MODESTO, CA 95355
Pharmacist
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner (Acute Care)
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355

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 Addison Chan's NPI number?

The NPI number for Addison Chan is 1568791994. It was assigned to this individual provider in the NPPES registry on December 14, 2009.

Where is Addison Chan located?

Addison Chan practices at 1700 Coffee Rd Emergency Department, Modesto, CA 95355. The listed phone number is (209) 526-4500.

What is Addison Chan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Addison Chan enrolled in Medicare?

Yes. Addison Chan 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 Addison Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Addison Chan reassigns Medicare benefits to 10 organizations: Cep America - California (Modesto, CA), St. Joseph's Hospital And Health Center (Beach, ND), Sound Physicians Emergency Medicine Of Texas PLLC (Killeen, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Acute Care Specialists (Longview, TX) and 5 more organizations, listed in the Medicare section above. 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 Addison Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Addison Chan accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company list Addison Chan 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 Addison Chan affiliated with any hospitals?

According to CMS data, Addison Chan is affiliated with Hca Houston Healthcare Clear Lake, Valley Regional Medical Center and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Addison Chan was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.