COLIN CHAN (M.D.) – Family Medicine Physician, NPI 1194710871
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for COLIN CHAN (M.D.)
12450 ROOSEVELT BLVD N STE 101
ST PETERSBURG, FL 337161902
Phone: (727) 571-1688
Fax: (727) 561-0674
Type: Mailing
Roosevelt Boulevard North, Saint Petersburg, Pinellas County, Florida, 33716, United States
SUITE 101
ST PETERSBURG, FL 337161902
Phone: (727) 571-1688
Fax: (727) 572-0900
Type: Location
PO BOX 12868
ST PETERSBURG, FL 337332868
Phone: (727) 824-8357
Fax: (727) 824-3132
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,369.
Total Amount is formed as General ($1,369) + Research ($0) + Ownership ($0) = $1,369.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: ABBVIE INC. ($482).
Total Amount
$1,369
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,369
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $482 |
| Novo Nordisk Inc | $249 |
| Lilly USA, LLC | $142 |
| GlaxoSmithKline, LLC. | $54 |
| Abbott Laboratories | $46 |
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: 2010-10-28
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 |
|---|---|---|---|---|
| I20101028001326 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 98 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 182 | 78 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 20 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 33716)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 81002 | Urinalysis, manual test | 34 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL |
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