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THERON HC CHAN M.D.
NPI 1952385833
Family Medicine in Ukiah, CA

Active since December 03, 2005PECOS Enrolled
97.12/100
CMS Quality Rating
260 HOSPITAL DR, SUITE 209, UKIAH, CA 95482(707) 463-8000(707) 462-1111 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theron Hc Chan M.d. NPPES

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

THERON HC CHAN M.D. (NPI 1952385833) is an individual family medicine provider in Ukiah, California, licensed in California (G36292) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952385833
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHERON HC CHANCredential: M.D.
Location Address260 HOSPITAL DR, SUITE 209Ukiah, CA 95482-4533
Mailing AddressPo Box 2739Ukiah, CA 95482-2739 · (707) 463-8000 · Fax (707) 462-1111
Phone(707) 463-8000
Fax(707) 462-1111
Sole ProprietorNo
Enumeration DateDecember 3, 2005
Last NPPES UpdateJune 14, 2011
✔ NPI 1952385833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G36292
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.
260 HOSPITAL DR, Ukiah, CA 95482
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Other Identifiers 3

Medicaid00G362920CA
Medicare UPINA46636CA
Medicare ID-Type Unspecified00G362920CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theron Hc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95482 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers61 claims162 services$5.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims23 services$0.89 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims8,171 services$0.39 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$58.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$20.73 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers12 claims12 services$49.04 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.

DR. GUY TERAN M.D.
Internal Medicine
260 HOSPITAL DR
UKIAH, CA 95482
Mendocino County (707) 463-8000
DR. MICHAEL T YOUNG DO
Physical Medicine & Rehabilitation (Pain Medicine)
260 HOSPITAL DR, SUITE 102
UKIAH, CA 95482
Mendocino County (707) 463-8028
ADVENTIST HEALTH PHYSICIANS NETWORK
Physical Medicine & Rehabilitation (Pain Medicine)
260 HOSPITAL DR, SUITE 102
UKIAH, CA 95482
Mendocino County (707) 463-8003
ANNE CATHERINE MARTIN-KO MD
Pediatrics (Adolescent Medicine)
260 HOSPITAL DR, SUITE 204
UKIAH, CA 95482
Mendocino County (707) 463-3470
MS. SHAISTA PARVEEN MD
Pediatrics
260 HOSPITAL DR, SUITE 204
UKIAH, CA 95482
Mendocino County (707) 463-8000
SHAKUNTALA BLOMQUIST
Nurse Practitioner (Family)
260 HOSPITAL DR
UKIAH, CA 95482
Mendocino County (707) 463-8000
MS. LORI KATNIK FNP
Nurse Practitioner (Family)
260 HOSPITAL DR
UKIAH, CA 95482
Mendocino County (707) 463-8000
DR. PAUL JEPSON M.D.
Urology
260 HOSPITAL DR, SUITE 201
UKIAH, CA 95482
Mendocino County (707) 463-8000

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 Theron Chan's NPI number?

The NPI number for Theron Chan is 1952385833. It was assigned to this individual provider in the NPPES registry on December 3, 2005.

Where is Theron Chan located?

Theron Chan practices at 260 Hospital Dr Suite 209, Ukiah, CA 95482. The listed phone number is (707) 463-8000.

What is Theron Chan's specialty?

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

Is Theron Chan enrolled in Medicare?

Yes. Theron Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theron Chan was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.