MR. BENJO TAN – Psychiatric/Mental Health Nurse Practitioner, NPI 1841966249
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MR. BENJO TAN
4000 Birch St Ste 112
Newport Beach, CA 926602255
Phone: (949) 629-3730
Type: Location
16823 Arrow Blvd
Fontana, CA 923353803
Phone: (949) 394-7094
Type: Location
20705 Kelfield Dr
Diamond Bar, CA 91789
Phone: (949) 394-7094
Type: Location
382 N LEMON AVE # 401
WALNUT, CA 917892344
Phone: (949) 394-7094
Type: Mailing
520 N MAIN ST STE 220
SANTA ANA, CA 927014623
Phone: (714) 543-5609
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $2,058.
Total Amount is formed as General ($2,058) + Research ($0) + Ownership ($0) = $2,058.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($537).
Total Amount
$2,058
General + Research + Ownership
Payments
78
Total payment records
General Amount
$2,058
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $537 |
| Teva Pharmaceuticals USA, Inc. | $372 |
| Alkermes, Inc. | $259 |
| ACADIA Pharmaceuticals Inc | $189 |
| Janssen Pharmaceuticals, Inc | $180 |
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: 2022-01-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220121000573 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,576 | 233 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 250 | 51 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 166 | 154 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 162 | 39 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 87 | 78 | $0 |
Insurance plans in this area (ZIP 92660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Family Practice, Hospice/Palliative Care | CA | |
| - | CA | |
| - | CA |
Reviews
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