DR. JOHNNY TZER-REN CHANG (MD) – Plastic Surgery Physician, NPI 1417175258

DR. JOHNNY TZER-REN CHANG (MD) is a healthcare provider. based in Los altos, California. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, HAND SURGERY. They hold the professional credentials MD. They hold a License No. A121316 (CA). The NPI Number for DR. JOHNNY TZER-REN CHANG (MD) is 1417175258

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHNNY TZER-REN CHANG (MD)
NPI
1417175258
Phone
(650) 853-2916
Address
325 DISTEL CIR
Enumeration Date
24 April 2007
Last Update Date
28 May 2020

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6503434200
Graduation Year
2006 (20 years ago)
PAC ID
7618125196
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20120907000654
Address ID
CA944013804SA123XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA

Provider Addresses for DR. JOHNNY TZER-REN CHANG (MD)

  • 325 DISTEL CIR

    LOS ALTOS, CA 940221408

    Phone: (650) 853-2916

    Type: Mailing

  • 795 EL CAMINO REAL

    LEE BUILDING, LEVEL 3

    PALO ALTO, CA 943012302

    Phone: (650) 853-2916

    Fax: (650) 853-2852

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($108).

Total Amount

$108

General + Research + Ownership

Payments

1

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120907000654IPlastic And Reconstructive SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2714$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 94022)

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Provider's Procedures

DR. JOHNNY TZER-REN CHANG (MD) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYCA13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1918

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How is DR. JOHNNY TZER-REN CHANG (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JOHNNY TZER-REN CHANG (MD) with NPI 1417175258.
Does CMS list DR. JOHNNY TZER-REN CHANG (MD) as active?
Yes — DR. JOHNNY TZER-REN CHANG (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. JOHNNY TZER-REN CHANG (MD)?
For research purposes, treat DR. JOHNNY TZER-REN CHANG (MD) as Plastic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. JOHNNY TZER-REN CHANG (MD) serve?
DR. JOHNNY TZER-REN CHANG (MD)'s listing highlights Los Altos, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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