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PAUL S CHAN MD
NPI 1881770519
Internal Medicine - Cardiovascular Disease in Kansas City, MO

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4330 WORNALL RD, SUITE 2000, KANSAS CITY, MO 64111(816) 931-1883(816) 756-3645 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 31, 2020, Nov 7, 2017 (2 updates tracked since 2017).

About Paul S Chan Md NPPES

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

PAUL S CHAN MD (NPI 1881770519) is an individual cardiovascular disease provider in Kansas City, Missouri, licensed in Missouri (2007016261) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Johns Hopkins University School Of Medicine (1995).

NPPES Registry Identity

NPI1881770519
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePAUL S CHANCredential: MD
Location Address4330 WORNALL RD, SUITE 2000Kansas City, MO 64111-5939
Mailing Address901 E 104th St, Mailstop 400sKansas City, MO 64131 · (816) 502-7117 · Fax (816) 932-9670
Phone(816) 931-1883
Fax(816) 756-3645
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1995
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1881770519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · 2007016261
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4330 WORNALL RD, Kansas City, MO 64111
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. 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 and accepts Medicare assignment

Paul S 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 ID7214038777
PECOS Enrollment IDI20070727000353, I20070727000702
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 7

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
72 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
69 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
51 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Hedrick Medical Center

Critical Access Hospitals · Chillicothe, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261321
Location2799 North Washington StreetChillicothe, MO 64601 · Livingston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

KRISTINA M CALKINS RN, BC, ANP
Nurse Practitioner (Adult Health)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
TIMOTHY M BATEMAN MD
Nuclear Medicine (Nuclear Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
DR. ANNA GRODZINSKY M.D.
Internal Medicine (Cardiovascular Disease)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
DANIEL A STEINHAUS M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
4330 WORNALL RD, STE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
JASON B LINDSEY MD
Internal Medicine (Interventional Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
LAUREN RASMUSSEN
Nurse Practitioner
4330 WORNALL RD, MEDICAL PLAZA III SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
KELSEY MEGARIS DNP, CCRN, NP-C
Nurse Practitioner (Adult Health)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
JAMES A GRANTHAM MD
Internal Medicine (Interventional Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883

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 Paul Chan's NPI number?

The NPI number for Paul Chan is 1881770519. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Paul Chan located?

Paul Chan practices at 4330 Wornall Rd Suite 2000, Kansas City, MO 64111. The listed phone number is (816) 931-1883.

What is Paul Chan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Chan enrolled in Medicare?

Yes. Paul 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 Paul Chan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica and UnitedHealthcare list Paul 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.

Is Paul Chan affiliated with any hospitals?

According to CMS data, Paul Chan is affiliated with Saint Luke's South Hospital, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City, Saint Luke's East Hospital and Hedrick Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Chan was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.