DR. MARK TAN M.D.
NPI 1578658266
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in South Pasadena, CA

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
209 FAIR OAKS AVE, SOUTH PASADENA, CA 91030(626) 396-2900 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2020, Mar 17, 2018, Aug 8, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Mark Tan M.d. NPPES

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

DR. MARK TAN M.D. (NPI 1578658266) is an individual ophthalmic plastic and reconstructive surgery provider in South Pasadena, California, licensed in California (A94624) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578658266
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameDR. MARK TANCredential: M.D.
Location Address209 FAIR OAKS AVESouth Pasadena, CA 91030-1814
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185 · (626) 775-3514 · Fax (626) 218-5310
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1994
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 13, 20204 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
NPI 1578658266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in CA · A94624
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedPlastic SurgeryTaxonomy 208200000X · License A94624 (CA)
209 FAIR OAKS AVE, South Pasadena, CA 91030

Secondary Practice Locations 2

Location 1301 W Huntington Dr Ste 400Arcadia, CA 91007-3471 · Phone (626) 218-9840 · Fax (626) 218-9860
Location 21500 E. Duarte Rd.Duarte, CA 91010 · Phone (626) 359-8111

Other Identifiers 1

Medicaid00A946240CA

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. Mark Tan M.d. 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 ID7618868076
PECOS Enrollment IDI20040324000090
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services16 patients

Hospital Affiliations CMS Care Compare 3

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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 (Hematology & Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Surgery (Surgical Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Surgery (Surgical Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Physician Assistant
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Surgery
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Internal Medicine (Hematology & Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Internal Medicine (Hematology & Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030

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 Mark Tan's NPI number?

The NPI number for Mark Tan is 1578658266. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mark Tan located?

Mark Tan practices at 209 Fair Oaks Ave, South Pasadena, CA 91030. The listed phone number is (626) 396-2900.

What is Mark Tan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Mark Tan enrolled in Medicare?

Yes. Mark Tan 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.

Is Mark Tan affiliated with any hospitals?

According to CMS data, Mark Tan is affiliated with The University Of Chicago Medical Center, Ingalls Memorial Hospital and Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Mark Tan was last updated on November 13, 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.