MRS. KATHERINE LILLIAN CHAN (MD) – Family Medicine Physician, NPI 1003254012

MRS. KATHERINE LILLIAN CHAN (MD) is a healthcare provider. based in Oviedo, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 076953 (GA). The NPI Number for MRS. KATHERINE LILLIAN CHAN (MD) is 1003254012

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHERINE LILLIAN CHAN (MD)
NPI
1003254012
Phone
(407) 359-8580
Address
798 EXECUTIVE DR
Enumeration Date
12 June 2013
Last Update Date
6 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
4082845706
Group Practice PAC ID
4981986288
Professional Enrollment ID
I20180816000814
Address ID
FL327711013SA1200XLNXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:12State licenses:3Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for MRS. KATHERINE LILLIAN CHAN (MD)

  • 798 EXECUTIVE DR

    OVIEDO, FL 327656392

    Phone: (407) 359-8580

    Type: Mailing

  • 1000 W Broadway St Ste 102

    Oviedo, FL 327659261

    Phone: (407) 359-8580

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-08-16

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
I20180816000814IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12272$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7979$0
99213Established patient office or other outpatient visit, 20-29 minutes7151$0
G0444Annual depression screening, 5 to 15 minutes7171$0
81002Urinalysis, manual test1414$0
View full utilization report →

Insurance plans in this area (ZIP 32765)

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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: 4981986288View full group profile
NameSpecialtyState
Internal MedicineFL
Hand Surgery, Orthopedic SurgeryCA
Occupational Therapist In Private PracticeGA
-FL
Physician AssistantFL
Family PracticeFL
Family PracticeFL
Hand Surgery, Orthopedic Surgery, Hand SurgeryMA
Physician AssistantFL
General PracticeFL

Reviews

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Frequently asked questions

Is MRS. KATHERINE LILLIAN CHAN (MD) listed with a National Provider Identifier?
Yes — MRS. KATHERINE LILLIAN CHAN (MD) has NPI 1003254012 on file in the registry.
Is MRS. KATHERINE LILLIAN CHAN (MD) still an active registrant?
MRS. KATHERINE LILLIAN CHAN (MD) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. KATHERINE LILLIAN CHAN (MD)?
MRS. KATHERINE LILLIAN CHAN (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MRS. KATHERINE LILLIAN CHAN (MD) located near Oviedo?
MRS. KATHERINE LILLIAN CHAN (MD) currently maps to Oviedo, Florida in this extract.
When was this NPI issued?
Enumeration for MRS. KATHERINE LILLIAN CHAN (MD) is noted as June 12, 2013 where the registry provides it.

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