STANLEY ANDREW TAN (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1396747721
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
605 ENDOCRINOLOGY in FL
Provider Addresses for STANLEY ANDREW TAN (MD)
Alligator Pack And Ship, 4200, Sebring Parkway, Sebring, Highlands County, Florida, 33870, United States
134
SEBRING, FL 338706610
Phone: (909) 645-3588
Type: Mailing
7125 Murrell Rd
Melbourne, FL 329407999
Phone: (321) 215-4910
Fax: (321) 434-4361
Type: Location
1005 W Circle St
Avon Park, FL 338252928
Phone: (863) 453-5500
Fax: (863) 453-5566
Type: Location
1005, West Circle Street, Avon Park, Highlands County, Florida, 33825, United States
AVON PARK, FL 338252928
Phone: (863) 453-5500
Fax: (863) 453-5566
Type: Location
20642 JOHN DR
CASTRO VALLEY, CA 945465103
Phone: (510) 785-5000
Type: Mailing
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: 2005-10-28
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 |
|---|---|---|---|---|
| I20051028000449 | I | Endocrinology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33870)
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