DR. MARIETTA TAN M.D.
NPI 1932342698
Otolaryngology in Baltimore, MD

Active since April 10, 2009PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0460 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2023, Aug 30, 2017, Jun 30, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Marietta Tan M.d. NPPES

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

DR. MARIETTA TAN M.D. (NPI 1932342698) is an individual otolaryngology provider in Baltimore, Maryland, licensed in Maryland (D80498) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2009).

NPPES Registry Identity

NPI1932342698
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARIETTA TANCredential: M.D.
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address4940 Eastern AveBaltimore, MD 21224-2735
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2009
Enumeration DateApril 10, 2009
Last NPPES UpdateAugust 25, 20234 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
NPI 1932342698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MD · D80498
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4940 EASTERN AVE, Baltimore, MD 21224

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. Marietta Tan M.d. 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 ID3870742919
PECOS Enrollment IDI20151223000114, I20231002000057, I20231003003517
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 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier16 claims2,172 services$2.41 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier14 claims574 services$3.26 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 20

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

Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224

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 Marietta Tan's NPI number?

The NPI number for Marietta Tan is 1932342698. It was assigned to this individual provider in the NPPES registry on April 10, 2009.

Where is Marietta Tan located?

Marietta Tan practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0460.

What is Marietta Tan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Marietta Tan enrolled in Medicare?

Yes. Marietta 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.

When was this NPI record last updated?

The NPPES record for Marietta Tan was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.