ADDISON CHAN
NPI 1568791994
Emergency Medicine in Modesto, CA

Q: 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.

Q: What is Addison Chan's specialty?

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

Q: 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.

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: August 30, 2026.

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

On this page

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 Valley Regional Medical Center, 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

Phone(209) 526-4500

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

Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of North Dakota, CHRISTUS Health Plan and more.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

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.

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 2

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

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.

ERIC CHAU-YONG KU MD

Radiology (Radiation Oncology)