MELISSA M. CHAN M.D.
NPI 1902031545
Family Medicine in Salt Lake City, UT

Q: What is Melissa Chan's NPI number?

The NPI number for Melissa Chan is 1902031545. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Q: What is Melissa Chan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Chan was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 27, 2009PECOS Enrolled

1776 S MAIN ST, SALT LAKE CITY, UT 84115(801) 872-8846(801) 449-0982 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 21, 2019, Mar 17, 2018, Jul 26, 2017 (3 updates tracked since 2017).

On this page

About Melissa M. Chan M.d. NPPES

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

MELISSA M. CHAN M.D. (NPI 1902031545) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (10364990-1205) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1902031545

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMELISSA M. CHANCredential: M.D.

Location Address1776 S MAIN STSalt Lake City, UT 84115-1951

Mailing Address1776 S Main StSalt Lake City, UT 84115-1951 · (801) 872-8846 · Fax (801) 449-0982

Phone(801) 872-8846

Fax(801) 449-0982

Sole ProprietorYes

Enumeration DateMay 27, 2009

Last NPPES UpdateOctober 15, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1902031545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in UT · 10364990-1205✔ Licensed in FL · 13484✔ Licensed in CA · A121675✔ Licensed in FL · ME108391

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.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License XC3767704 (UT)

Also ListedHospitalistTaxonomy 208M00000X · License 10364990-1205 (UT)

1776 S MAIN ST, Salt Lake City, UT 84115

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Secondary Practice Location 1

Location 1400 Adams StAlbany, CA 94706-1104 · Phone (510) 559-1200 · Fax (510) 525-4922

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa M. Chan 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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utah Regional Hospitalists LLC

6.6 mi

Hospitalist

5505 S 900 E STE 240
Murray, UT 84117

Reassigned Medicare billing, Utah enrollment
271 clinicians in this Medicare group

NPI 1962821223 (844) 474-4019

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

94%191 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier12 claims12 services$10.67 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 7

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

MRS. LANA C. ROYLE LCMHC

Counselor (Mental Health)