DR. HUAIYU TAN (MD, PHD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1104017391

DR. HUAIYU TAN (MD, PHD) is a healthcare provider. based in Pensacola, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD, PHD. They hold a License No. ME112876 (FL). The NPI Number for DR. HUAIYU TAN (MD, PHD) is 1104017391

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. HUAIYU TAN (MD, PHD)
NPI
1104017391
Phone
(850) 916-3700
Address
PO BOX 30532
Enumeration Date
5 August 2007
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
8224294020
Group Practice PAC ID
9638215734
Professional Enrollment ID
I20120724000091
Address ID
FL325145485PE9400XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:18State licenses:1Digital endpointsOther names

833 PHYSICAL MEDICINE AND REHABILITATION in FL

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Provider Addresses for DR. HUAIYU TAN (MD, PHD)

  • PO BOX 30532

    PENSACOLA, FL 325031532

    Phone: (850) 916-3700

    Fax: (850) 916-3710

    Type: Mailing

  • PO BOX 17567

    PENSACOLA, FL 325227567

    Phone: (850) 916-3700

    Fax: (850) 916-3710

    Type: Mailing

  • 1717, North E Street, Pensacola, Escambia County, Florida, 32501, United States

    SUITE 530

    PENSACOLA, FL 325016339

    Phone: (850) 916-3700

    Fax: (850) 916-3710

    Type: Location

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone: (801) 352-9500

    Type: Mailing

  • 125 BAPTIST WAY STE 4A

    PENSACOLA, FL 325032274

    Phone: (850) 437-8670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $441.

Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Boston Scientific Corporation ($167).

Total Amount

$441

General + Research + Ownership

Payments

11

Total payment records

General Amount

$441

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2012-07-24

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
I20120724000091IPhysical Medicine And RehabilitationFLTBD

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 minutes596385$0
99213Established patient office or other outpatient visit, 20-29 minutes392305$0
99203New patient office or other outpatient visit, 30-44 minutes167167$0
62323Injection of substance into lower spine canal using imaging guidance160137$0
99212Established patient office or other outpatient visit, 10-19 minutes152145$0
View full utilization report →

Insurance plans in this area (ZIP 32503)

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Provider's Procedures

DR. HUAIYU TAN (MD, PHD) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOFL20610Aspiration and/or injection of large joint or joint capsule1212
PHYSICAL MEDICINE AND REHABILITATIOFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2319

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: 9638215734View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. HUAIYU TAN (MD, PHD)?
The registry entry for DR. HUAIYU TAN (MD, PHD) shows NPI 1104017391.
Quick check: is DR. HUAIYU TAN (MD, PHD) active?
Public NPPES data shows DR. HUAIYU TAN (MD, PHD) with an active NPI status right now.
What type of care does DR. HUAIYU TAN (MD, PHD) provide?
DR. HUAIYU TAN (MD, PHD)'s profile centers on Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. HUAIYU TAN (MD, PHD) in Pensacola, Florida?
For routing, start with Pensacola, Florida for DR. HUAIYU TAN (MD, PHD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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