CHARLENE CHAN MD
NPI 1801250220
Family Medicine in New Orleans, LA

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
4960 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117(504) 533-4999 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2020, Oct 15, 2019 (2 updates tracked since 2019).

About Charlene Chan Md NPPES

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

CHARLENE CHAN MD (NPI 1801250220) is an individual family medicine provider in New Orleans, Louisiana, licensed in Louisiana (306403) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Metairie, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2016).

NPPES Registry Identity

NPI1801250220
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLENE CHANCredential: MD
Location Address4960 SAINT CLAUDE AVENew Orleans, LA 70117-4258
Mailing Address4228 Houma Blvd, Ste 200Metairie, LA 70006-3000 · (504) 454-7878 · Fax (504) 883-3775
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateApril 13, 20202 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
NPI 1801250220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 306403
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.
4960 SAINT CLAUDE AVE, New Orleans, LA 70117

Secondary Practice Location 1

Location 14228 Houma Blvd, Ste 200Metairie, LA 70006-3000 · Phone (504) 454-7878 · Fax (504) 883-3775

Accepted 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

Charlene Chan 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 ID6901194752
PECOS Enrollment IDI20190917003351
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 70117 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

Reported Quality Measures

Breast Cancer Screening
77%111 patients4/55-star benchmark: 93%
Cervical Cancer Screening
64%266 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
44%210 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
65%231 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
74%204 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
13%109 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%109 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,491 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%62 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
86%525 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
85%373 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 468 patients
Patients screened: 93% · 468 patients
86%92 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%124 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 69 patients
Patients totalRate: 10% · 70 patients
10%70 patients4/55-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 7

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

Family Medicine
4960 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117
Nurse Practitioner (Family)
4960 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117
Physician Assistant
4960 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117
Counselor (Mental Health)
4960 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117
Internal Medicine
4960 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117
Clinic/Center (Federally Qualified Health Center (FQHC))
4960 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117
Internal Medicine
4960 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117

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 Charlene Chan's NPI number?

The NPI number for Charlene Chan is 1801250220. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Charlene Chan located?

Charlene Chan practices at 4960 Saint Claude Ave, New Orleans, LA 70117. The listed phone number is (504) 533-4999.

What is Charlene Chan's specialty?

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

Is Charlene Chan enrolled in Medicare?

Yes. Charlene 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.

What insurance does Charlene Chan accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Charlene 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 Charlene Chan was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.