KENNETH SHU-WEN TAN M.D.
NPI 1699039594
Family Medicine in Columbia, MO

Q: What is Kenneth Tan's NPI number?

The NPI number for Kenneth Tan is 1699039594. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Kenneth Tan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Tan was last updated on June 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment

93.27/100

CMS Quality Rating

3217 S PROVIDENCE RD, COLUMBIA, MO 65203(573) 884-7733(573) 882-6228 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kenneth Shu-wen Tan M.d. NPPES

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

KENNETH SHU-WEN TAN M.D. (NPI 1699039594) is an individual family medicine provider in Columbia, Missouri, licensed in Missouri (2012020842) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Lukes North Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2012).

NPPES Registry Identity

NPI1699039594

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH SHU-WEN TANCredential: M.D.

Location Address3217 S PROVIDENCE RDColumbia, MO 65203-3639

Mailing Address3217 S Providence RdColumbia, MO 65203-3639 · (573) 884-7733 · Fax (573) 882-6228

Phone(573) 884-7733

Fax(573) 882-6228

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2012

Enumeration DateJune 26, 2012

✔ NPI 1699039594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2012020842

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3217 S PROVIDENCE RD, Columbia, MO 65203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica 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

Kenneth Shu-wen 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 ID5890939375

PECOS Enrollment IDI20150817001137

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.

Hospital Affiliations CMS Care Compare 5

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

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260062

Location5830 N W Barry RoadKansas City, MO 64154 · Platte County

Emergency services Birthing friendly

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260177

Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County

Emergency services Birthing friendly

Pershing Memorial Hospital

Critical Access Hospitals · Brookfield, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261307

Location130 East LocklingBrookfield, MO 64628 · Linn County

Emergency services

Wright Memorial Hospital

Critical Access Hospitals · Trenton, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261309

Location191 Iowa BoulevardTrenton, MO 64683 · Grundy County

Emergency services

Hedrick Medical Center

Critical Access Hospitals · Chillicothe, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number261321

Location2799 North Washington StreetChillicothe, MO 64601 · Livingston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65203 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

93.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.86

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers50 claims114 services$6.01 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers11 claims17 services$1.07 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers12 claims23 services$2.03 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers20 claims20 services$107.65 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers18 claims52 services$43.92 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers23 claims128 services$24.76 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers22 claims132 services$17.66 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers52 claims52 services$67.80 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers41 claims41 services$24.43 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers56 claims56 services$21.37 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers64 claims375 services$3.17 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

3 suppliers24 claims24 services$9.17 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers20 claims20 services$63.66 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers37 claims39 services$20.73 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers23 claims23 services$50.66 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier24 claims26 services$17.21 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers17 claims17 services$7.06 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers78 claims80 services$49.82 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers68 claims70 services$110.48 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers23 claims1,290 services$4.48 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers36 claims4,770 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers24 claims1,350 services$0.81 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers20 claims20 services$24.02 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier15 claims15 services$194.87 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers58 claims58 services$25.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 15

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

DR. DEBRA A HOWENSTINE M.D.

Family Medicine

3217 S PROVIDENCE RD
COLUMBIA, MO 65203

Boone County (573) 884-7733

SANDRA L MESKIMEN APRN

Nurse Practitioner

3217 S PROVIDENCE RD
COLUMBIA, MO 65203

Boone County (573) 884-7733

ELIZABETH A GARRETT

Family Medicine

3217 S PROVIDENCE RD
COLUMBIA, MO 65203

Boone County (573) 884-8700

GEORGIA NOLPH MD

Family Medicine

3217 S PROVIDENCE RD
COLUMBIA, MO 65203

Boone County (573) 884-7733

DR. CARI M. WORLEY HENRY M.D.

Family Medicine

3217 S PROVIDENCE RD
COLUMBIA, MO 65203

Boone County (573) 884-7733

MEGAN CLARY M.D.

Pediatrics

3217 S PROVIDENCE RD
COLUMBIA, MO 65203

Boone County (573) 882-4730

HAROLD A WILLIAMSON MD

Family Medicine

3217 S PROVIDENCE RD
COLUMBIA, MO 65203

Boone County (573) 884-9191

GURDEEP SINGH MANHAS M.D.

Family Medicine

3217 S PROVIDENCE RD
COLUMBIA, MO 65203

Boone County (573) 884-8700

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 Kenneth Tan's NPI number?

The NPI number for Kenneth Tan is 1699039594. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Kenneth Tan located?

Kenneth Tan practices at 3217 S Providence Rd, Columbia, MO 65203. The listed phone number is (573) 884-7733.

What is Kenneth Tan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Tan enrolled in Medicare?

Yes. Kenneth 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 Kenneth Tan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Kenneth 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.

Is Kenneth Tan affiliated with any hospitals?

According to CMS data, Kenneth Tan is affiliated with Saint Lukes North Hospital, New Liberty Hospital District, Pershing Memorial Hospital, Wright Memorial Hospital and Hedrick Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Tan was last updated on June 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.