DR. PETER M TAN JR. DDS
NPI 1932585916
Dentist - Oral and Maxillofacial Surgery in Fort George G Meade, MD

Active since August 03, 2015PECOS Enrolled
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755(301) 677-8956 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter M Tan Jr. Dds NPPES

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

DR. PETER M TAN JR. DDS (NPI 1932585916) is an individual oral and maxillofacial surgery provider in Fort George G Meade, Maryland, licensed in West Virginia (4367) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932585916
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PETER M TAN JR.Credential: DDS
Location Address2480 LLEWELLYN AVEFort George G Meade, MD 20755-7081
Mailing Address1553 Hugo CirSilver Spring, MD 20906-5918 · (301) 639-2536
Sole ProprietorYes
Enumeration DateAugust 3, 2015
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
NPI 1932585916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WV · 4367
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 15999 (MD)
2480 LLEWELLYN AVE, Fort George G Meade, MD 20755

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 (PECOS)

Dr. Peter M Tan Jr. Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20755 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
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.

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.

Registered Nurse (Ambulatory Care)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Licensed Vocational Nurse
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Optometrist
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Physician Assistant
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Nurse's Aide
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FORT GEORGE G MEADE, MD 20755

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 Peter Tan's NPI number?

The NPI number for Peter Tan is 1932585916. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Peter Tan located?

Peter Tan practices at 2480 Llewellyn Ave, Fort George G Meade, MD 20755. The listed phone number is (301) 677-8956.

What is Peter Tan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Peter Tan enrolled in Medicare?

Yes. Peter Tan is registered in the Medicare PECOS enrollment system.

What insurance does Peter Tan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Tan was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.