ERNESTO TAN MD
NPI 1699882084
Urology in Lockport, IL

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
300 READ ST STE A, LOCKPORT, IL 60441(815) 741-1020(815) 741-1064 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ernesto Tan Md NPPES

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

ERNESTO TAN MD (NPI 1699882084) is an individual urology provider in Lockport, Illinois, licensed in Illinois (036049705) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1699882084
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameERNESTO TANCredential: MD
Location Address300 READ ST STE ALockport, IL 60441-3265
Mailing Address10400 Southwest Hwy Lowr LevelChicago Ridge, IL 60415-2394 · (708) 590-8770 · Fax (708) 428-4277
Fax(815) 741-1064
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
NPI 1699882084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in IL · 036049705
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

300 READ ST STE A, Lockport, IL 60441

Other Identifiers 3

OtherIL3265Group Medicare Ptan
Other1467471540Group Npi
OtherDF2482Rr Ptam

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

Ernesto 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 ID1951349240
PECOS Enrollment IDI20050418001131
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140155
Location500 W Court StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60441 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.58
Promoting Interoperability95
Improvement Activities40
Cost64

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims2,160 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers34 claims4,140 services$1.68 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers12 claims1,200 services$5.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
300 READ ST STE A
LOCKPORT, IL 60441
Counselor (Professional)
300 READ ST STE A
LOCKPORT, IL 60441
Clinic/Center (Physical Therapy)
300 READ ST STE A
LOCKPORT, IL 60441
Counselor (Professional)
300 READ ST STE A
LOCKPORT, IL 60441
Social Worker
300 READ ST STE A
LOCKPORT, IL 60441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699882084, enumerated as an "individual" on August 23, 2006.

The provider is located at 300 READ ST STE A LOCKPORT, IL 60441 and the phone number is (815) 741-1020.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Ernesto Tan is affiliated with: GRAHAM HOSPITAL ASSOCIATION and PRESENCE ST MARYS HOSPITAL.