DR. TIMOTHY CHAN I DPM
NPI 1790955367
Podiatrist - Foot & Ankle Surgery in Tacoma, WA

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment
94.77/100
CMS Quality Rating
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2024, Feb 16, 2023, Feb 26, 2020 (3 updates tracked since 2020).

About Dr. Timothy Chan I Dpm NPPES

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

DR. TIMOTHY CHAN I DPM (NPI 1790955367) is an individual foot & ankle surgery provider in Tacoma, Washington, licensed in New Mexico (POD416) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1790955367
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. TIMOTHY CHAN ICredential: DPM
Location Address9040 JACKSON AVETacoma, WA 98431-1954
Mailing Address9040 Jackson AveTacoma, WA 98431-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 10, 2008
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1790955367 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 NM · POD416
9040 JACKSON AVE, Tacoma, WA 98431

Other Identifiers 3

Other6364940001FL · Ptan
Other1790955367FL · Npi
OtherCZ549ZFL · Mcr

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

Dr. Timothy Chan I 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 ID9537297940
PECOS Enrollment IDI20200312001239
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
17 services17 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.

94.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.79
Promoting Interoperability99
Improvement Activities40

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 Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Timothy Chan's NPI number?

The NPI number for Timothy Chan is 1790955367. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Timothy Chan located?

Timothy Chan practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1110.

What is Timothy Chan's specialty?

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

Is Timothy Chan enrolled in Medicare?

Yes. Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Chan was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.