STEPHEN R TAN MD
NPI 1669446415
Dermatology - MOHS-Micrographic Surgery in Saint Paul, MN

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
401 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-7580(651) 254-7584 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 14, 2020, Feb 12, 2020 (2 updates tracked since 2020).

About Stephen R Tan Md NPPES

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

STEPHEN R TAN MD (NPI 1669446415) is an individual mohs-micrographic surgery provider in Saint Paul, Minnesota, licensed in Minnesota (44614) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in St Louis Park, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1669446415
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameSTEPHEN R TANCredential: MD
Location Address401 PHALEN BLVDSaint Paul, MN 55130-5302
Mailing Address401 Phalen BlvdSaint Paul, MN 55130-5302 · (651) 254-7580 · Fax (651) 254-7584
Fax(651) 254-7584
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 16, 2006
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
NPI 1669446415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in MN · 44614
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License 44614 (MN)
401 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Location 1

Location 13800 Park Nicollet BlvdSt Louis Park, MN 55416-2527 · Phone (952) 993-3286

Other Identifiers 1

Medicaid064221500MN

Accepted 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

Stephen R Tan 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 ID3173500873
PECOS Enrollment IDI20040701000084
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 9

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
269 services208 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
228 services133 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
54 services52 patients
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.
37 services34 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
26 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

Nurse Practitioner
401 PHALEN BLVD, MC 41103F
SAINT PAUL, MN 55130
Internal Medicine (Geriatric Medicine)
401 PHALEN BLVD, MS 41103F
SAINT PAUL, MN 55130
Internal Medicine (Pulmonary Disease)
401 PHALEN BLVD, HEALTHPARTNERS SPECIALITY CENTER 401
ST. PAUL, MN 55130
Psychiatry & Neurology (Geriatric Psychiatry)
401 PHALEN BLVD, MS 41104C HEALTHPARTNERS SPECIALTY CENTER 401
ST. PAUL, MN 55130
Otolaryngology
401 PHALEN BLVD, HEALTHPARTNERS SPECIALITY CENTER 401
ST. PAUL, MN 55130
Dietitian, Registered
401 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner (Adult Health)
401 PHALEN BLVD, MS 41102D HEALTHPARTNERS SPECIALTY CENTER 401
ST. PAUL, MN 55130
Pharmacist (Pharmacotherapy)
401 PHALEN BLVD
SAINT PAUL, MN 55130

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 Stephen Tan's NPI number?

The NPI number for Stephen Tan is 1669446415. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Stephen Tan located?

Stephen Tan practices at 401 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 254-7580.

What is Stephen Tan's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Stephen Tan enrolled in Medicare?

Yes. Stephen 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.

What insurance does Stephen Tan accept?

Health plans from HealthPartners and Medica list Stephen 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 Stephen Tan was last updated on August 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.