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DR. GRACE X. TAN MD
NPI 1619389020
Otolaryngology - Pediatric Otolaryngology in Eugene, OR

Active since May 20, 2014PECOS Enrolled
97.83/100
CMS Quality Rating
1200 HILYARD ST STE 620, EUGENE, OR 97401(458) 205-6500(458) 205-6453 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2026, Sep 1, 2020, Jun 11, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Grace X. Tan Md NPPES

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

DR. GRACE X. TAN MD (NPI 1619389020) is an individual pediatric otolaryngology provider in Eugene, Oregon, licensed in Oregon (MD201443) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1619389020
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameDR. GRACE X. TANCredential: MD
Location Address1200 HILYARD ST STE 620Eugene, OR 97401-8157
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-8510 · Fax (503) 494-4631
Phone(458) 205-6500
Fax(458) 205-6453
Sole ProprietorNo
Enumeration DateMay 20, 2014
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1619389020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in OR · MD201443
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
1200 HILYARD ST STE 620, Eugene, OR 97401
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12530 Chicago Ave Ste 450Minneapolis, MN 55404-4127 · Phone (612) 874-1292
Location 2601 N Caroline St Fl 6Baltimore, MD 21287-0006 · Phone (410) 955-1686
Location 33181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8510 · Fax (503) 494-4631
Location 4501 N Graham St Ste 585Portland, OR 97227-1654 · Phone (503) 413-3690

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grace X. Tan Md 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 Reassignments

2

Medicare enrollment records show Grace Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Professional Services
0.4 mi
Multi-Specialty
901 E 18TH AVE
Eugene, OR 97403
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1164676672 (503) 494-9000
Legacy Emanuel Hospital & Health Center
105 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000

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

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

MARGARET HAUSE PA-C
Physician Assistant
1200 HILYARD ST STE 620
EUGENE, OR 97401
Lane County (458) 205-6500
KENNETH HUGH MCCARLEY MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1200 HILYARD ST STE 620
EUGENE, OR 97401
Lane County (458) 205-6500
LAUREN FORRESTER CLANCEY AU.D
Audiologist
1200 HILYARD ST STE 620
EUGENE, OR 97401
Lane County (458) 205-6500
KATHERINE COX AU.D.
Audiologist
1200 HILYARD ST STE 620
EUGENE, OR 97401
Lane County (458) 205-6500
MCKENZIE FURGASON AUD
Audiologist
1200 HILYARD ST STE 620
EUGENE, OR 97401
Lane County (458) 205-6500
SEAN MALANOWSKI PA-C
Physician Assistant
1200 HILYARD ST STE 620
EUGENE, OR 97401
Lane County (458) 205-6500
CASSIDY BACHELOT AUD
Audiologist
1200 HILYARD ST STE 620
EUGENE, OR 97401
Lane County (458) 205-6500

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 Grace Tan's NPI number?

The NPI number for Grace Tan is 1619389020. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Grace Tan located?

Grace Tan practices at 1200 Hilyard St Ste 620, Eugene, OR 97401. The listed phone number is (458) 205-6500.

What is Grace Tan's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Grace Tan enrolled in Medicare?

Yes. Grace Tan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Grace Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Tan reassigns Medicare benefits to 2 organizations: University Professional Services (Eugene, OR) and Legacy Emanuel Hospital & Health Center (Portland, OR). 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 Grace Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Tan accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Grace Tan 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 Grace Tan was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.