DR. PATRICK KIU TAO CHAN D.M.D.
NPI 1780722017
Dentist - Oral and Maxillofacial Surgery in Boston, MA

Q: What is Patrick Chan's NPI number?

The NPI number for Patrick Chan is 1780722017. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Patrick Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Chan was last updated on April 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 01, 2007PECOS Enrolled

136 LINCOLN ST, BOSTON, MA 02111(617) 451-2111 Get Directions Write a Review

NPPES record last updated: April 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Patrick Kiu Tao Chan D.m.d. NPPES

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

DR. PATRICK KIU TAO CHAN D.M.D. (NPI 1780722017) is an individual oral and maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (20034) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780722017

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. PATRICK KIU TAO CHANCredential: D.M.D.

Location Address136 LINCOLN STBoston, MA 02111-2506

Mailing Address136 Lincoln StBoston, MA 02111-2506 · (617) 451-2111

Phone(617) 451-2111

Sole ProprietorYes

Enumeration DateFebruary 1, 2007

Last NPPES UpdateApril 14, 2018

✔ NPI 1780722017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in MA · 20034✔ Licensed in NY · 049683

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

136 LINCOLN ST, Boston, MA 02111

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Other Identifiers 1

Medicaid405764200MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Patrick Kiu Tao Chan D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

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 Patrick Chan's NPI number?

The NPI number for Patrick Chan is 1780722017. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Patrick Chan located?

Patrick Chan practices at 136 Lincoln St, Boston, MA 02111. The listed phone number is (617) 451-2111.

What is Patrick Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Patrick Chan enrolled in Medicare?

Yes. Patrick Chan is registered in the Medicare PECOS enrollment system.

What insurance does Patrick Chan accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Patrick Chan 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 Patrick Chan was last updated on April 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.