SIMON S TAN MD
NPI 1811001365
Psychiatry & Neurology - Neurology in Southlake, TX

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
241 W SOUTHLAKE BLVD STE 140, SOUTHLAKE, TX 76092(817) 488-0100(817) 488-4568 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Jun 4, 2024, Apr 23, 2020 and 2 more (5 updates tracked since 2018).

About Simon S Tan Md NPPES

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

SIMON S TAN MD (NPI 1811001365) is an individual neurology provider in Southlake, Texas, licensed in Texas (L2023) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1811001365
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSIMON S TANCredential: MD
Location Address241 W SOUTHLAKE BLVD STE 140Southlake, TX 76092-7041
Mailing Address241 W Southlake Blvd Ste 140Southlake, TX 76092-7041 · (817) 488-0100 · Fax (817) 488-4568
Fax(817) 488-4568
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 17, 20255 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
NPI 1811001365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TX · L2023
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License L2023 (TX)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License L2023 (TX)
241 W SOUTHLAKE BLVD STE 140, Southlake, TX 76092

Secondary Practice Locations 3

Location 1206 S Coronado AveEspanola, NM 87532-2792 · Phone (412) 406-7692
Location 26425 Living Pl Fl 2Pittsburgh, PA 15206-5122 · Phone (412) 406-7692
Location 310900 NE 4th St Ste 2300Bellevue, WA 98004-5882 · Phone (412) 406-7692

Other Identifiers 1

Medicaid151996901TX

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

Simon S 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 ID2567363187
PECOS Enrollment IDI20101008000268, I20221018001122, I20221018001344, I20221018001931, I20221027001777, I20221028000316, I20221028000346, I20221121000584
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 18

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
4,305 services397 patients
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) G0453
Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.
2,103 services219 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
1,086 services400 patients
Placement of skin electrodes and measurement of stimulated sites on arms and legs 95938
This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.
475 services466 patients
Measurement of brain wave activity (eeg) outside the brain during surgery 95955
An EEG (Electroencephalogram) during surgery monitors brain activity. Electrodes on the scalp record brain wave patterns, helping doctors ensure the brain is functioning normally throughout the procedure.
322 services313 patients
Needle measurement of electrical activity in arm or leg muscles, 2 extremities 95861
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. It helps diagnose conditions affecting nerves or muscles. It's generally painless, though you may feel some discomfort.
244 services241 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Baylor Scott And White Surgical Hospital Fortworth

Acute Care Hospitals · Fort Worth, TX
OwnershipPhysician
CMS Certification Number450880
Location1800 Park Place AvenueFort Worth, TX 76110 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims336 services$35.42 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
2 suppliers13 claims364 services$168.07 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

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

Pain Medicine (Interventional Pain Medicine)
241 W SOUTHLAKE BLVD STE 140
SOUTHLAKE, TX 76092

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 Simon Tan's NPI number?

The NPI number for Simon Tan is 1811001365. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Simon Tan located?

Simon Tan practices at 241 W Southlake Blvd Ste 140, Southlake, TX 76092. The listed phone number is (817) 488-0100.

What is Simon Tan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Simon Tan enrolled in Medicare?

Yes. Simon 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 Simon Tan accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Simon 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 Simon Tan affiliated with any hospitals?

According to CMS data, Simon Tan is affiliated with Mercy Medical Center Inc, Tidalhealth Peninsula Regional, Inc, University Of MD St Joseph Medical Center, Medical City Fort Worth and Baylor Scott And White Surgical Hospital Fortworth.

When was this NPI record last updated?

The NPPES record for Simon Tan was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.