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VISOTH CHAN DPM
NPI 1669716791
Podiatrist - Foot & Ankle Surgery in Mission Viejo, CA

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
90.31/100
CMS Quality Rating
26732 CROWN VALLEY PKWY, SUITE 317, MISSION VIEJO, CA 92691(949) 364-2525(949) 364-3322 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Visoth Chan Dpm NPPES

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

VISOTH CHAN DPM (NPI 1669716791) is an individual foot & ankle surgery provider in Mission Viejo, California, licensed in California (E5026) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1669716791
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameVISOTH CHANCredential: DPM
Location Address26732 CROWN VALLEY PKWY, SUITE 317Mission Viejo, CA 92691-6306
Mailing Address1725 E Jackson StLong Beach, CA 90805-6221
Phone(949) 364-2525
Fax(949) 364-3322
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2010
Enumeration DateNovember 15, 2012
Last NPPES UpdateAugust 5, 2013
✔ NPI 1669716791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5026
26732 CROWN VALLEY PKWY, Mission Viejo, CA 92691
Open in Google Maps ↗

Other Identifiers 1

OtherHI205ZCA · Ptan

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

Visoth Chan Dpm 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 ID1153561345
PECOS Enrollment IDI20130711000625
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 Reassignment

Medicare enrollment records show Visoth Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Visoth Chan, D.P.M., Inc.
Same address
Foot & Ankle Surgery
26732 CROWN VALLEY PKWY STE 317
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Visoth Chan DPM Inc
  • 8 clinicians in this Medicare group
NPI 1134781206 (949) 364-2525

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 8

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.
332 services153 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
280 services124 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
146 services65 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
82 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients

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.

90.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.56
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%812 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
18%79 patients1/55-star benchmark: 87%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
0%138 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
100%78 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%78 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
54%3,314 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%794 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 87% · 843 patients
87%843 patients
Provide Patients Electronic Access to Their Health Information
62%553 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%87 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 826 patients
Patients totalRate: 0% · 826 patients
0%826 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ELEONORE ZETRENNE MD
Specialist
26732 CROWN VALLEY PKWY, SUITE 585
MISSION VIEJO, CA 92691
Orange County (949) 364-1010
MELVIN K AKAZAWA MD INC
Surgery (Plastic and Reconstructive Surgery)
26732 CROWN VALLEY PKWY, SUITE 381
MISSION VIEJO, CA 92691
Orange County (949) 364-2150
MISSION CHILDREN'S MEDICAL GROUP, INC
Pediatrics
26732 CROWN VALLEY PKWY, STE 571
MISSION VIEJO, CA 92691
Orange County (949) 364-8700
DR. VICTOR V CACHIA DPM
Podiatrist (Foot & Ankle Surgery)
26732 CROWN VALLEY PKWY, 317
MISSION VIEJO, CA 92691
Orange County (949) 364-2525
MRS. HEATHER LAN-PHUONG NGUYEN
Technician/Technologist
26732 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 364-1400
ALEXANDER TAGHVA, M.D., INC.
Neurological Surgery
26732 CROWN VALLEY PKWY, SUITE 541
MISSION VIEJO, CA 92691
Orange County (949) 388-7190
GLENDA S ROGERS RN
Registered Nurse
26732 CROWN VALLEY PKWY, SUITE 351
MISSION VIEJO, CA 92691
Orange County (949) 364-1007
NEUROLOGICAL SURGERY MEDICAL ASSOCIATES INC
Neurological Surgery
26732 CROWN VALLEY PKWY, SUITE 561
MISSION VIEJO, CA 92691
Orange County (949) 364-1060

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 Visoth Chan's NPI number?

The NPI number for Visoth Chan is 1669716791. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Visoth Chan located?

Visoth Chan practices at 26732 Crown Valley Pkwy Suite 317, Mission Viejo, CA 92691. The listed phone number is (949) 364-2525.

What is Visoth Chan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Visoth Chan enrolled in Medicare?

Yes. Visoth 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 organization bills Medicare for Visoth Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Visoth Chan reassigns Medicare benefits to Visoth Chan, D.P.M., Inc. (Mission Viejo, CA). The 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 Visoth Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Visoth Chan was last updated on August 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.