DR. SEAN CHAN DNP, NP-C
NPI 1972123743
Nurse Practitioner - Family in Tucson, AZ

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
79.33/100
CMS Quality Rating
1238 W ORANGE GROVE RD STE 103, TUCSON, AZ 85704(520) 297-9060 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2020, Apr 22, 2020 (2 updates tracked since 2020).

About Dr. Sean Chan Dnp, Np-c NPPES

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

DR. SEAN CHAN DNP, NP-C (NPI 1972123743) is an individual family provider in Tucson, Arizona, licensed in Arizona (240415) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972123743
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SEAN CHANCredential: DNP, NP-C
Location Address1238 W ORANGE GROVE RD STE 103Tucson, AZ 85704-2950
Mailing Address3709 N Campbell Ave, Ste 201Tucson, AZ 85719-1563 · (520) 838-3540 · Fax (520) 325-3540
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 22, 2020
Last NPPES UpdateMay 4, 20202 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
NPI 1972123743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 240415
1238 W ORANGE GROVE RD STE 103, Tucson, AZ 85704

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 and accepts Medicare assignment

Dr. Sean Chan Dnp, Np-c 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 ID8628409646
PECOS Enrollment IDI20200507001009
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
813 services468 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
195 services177 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
70 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 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.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

79.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.94
Promoting Interoperability83
Improvement Activities40
Cost66.34

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.

Internal Medicine (Cardiovascular Disease)
1238 W ORANGE GROVE RD STE 103
TUCSON, AZ 85704
Nurse Practitioner (Family)
1238 W ORANGE GROVE RD STE 103
TUCSON, AZ 85704
Nurse Practitioner (Acute Care)
1238 W ORANGE GROVE RD STE 103
TUCSON, AZ 85704
Nurse Practitioner (Family)
1238 W ORANGE GROVE RD STE 103
TUCSON, AZ 85704
Internal Medicine (Cardiovascular Disease)
1238 W ORANGE GROVE RD STE 103
TUCSON, AZ 85704
Nurse Practitioner (Family)
1238 W ORANGE GROVE RD STE 103
TUCSON, AZ 85704
Physician Assistant
1238 W ORANGE GROVE RD STE 103
TUCSON, AZ 85704

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 Sean Chan's NPI number?

The NPI number for Sean Chan is 1972123743. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Sean Chan located?

Sean Chan practices at 1238 W Orange Grove Rd Ste 103, Tucson, AZ 85704. The listed phone number is (520) 297-9060.

What is Sean Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sean Chan enrolled in Medicare?

Yes. Sean 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 Sean Chan accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Sean 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.

When was this NPI record last updated?

The NPPES record for Sean Chan was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.