EDISON N TAN (M.D.) – Internal Medicine Physician, NPI 1962475533

EDISON N TAN (M.D.) is a healthcare provider. based in Clearwater, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME78501 (FL). The NPI Number for EDISON N TAN (M.D.) is 1962475533

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
EDISON N TAN (M.D.)
NPI
1962475533
Phone
(727) 442-3001
Address
1840 N HIGHLAND AVE
Enumeration Date
13 February 2006
Last Update Date
4 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7274423001
Graduation Year
1992 (34 years ago)
PAC ID
7416956628
Group Practice PAC ID
2264413152
Professional Enrollment ID
I20061218000242
Address ID
FL337552138CL1840XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for EDISON N TAN (M.D.)

  • 1840, North Highland Avenue, Clearwater, Pinellas County, Florida, 33755, United States

    CLEARWATER, FL 337552138

    Phone: (727) 442-3001

    Fax: (727) 467-9106

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $2,659.

Total Amount is formed as General ($2,659) + Research ($0) + Ownership ($0) = $2,659.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($619).

Total Amount

$2,659

General + Research + Ownership

Payments

140

Total payment records

General Amount

$2,659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2006-12-18

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
I20061218000242IInternal MedicineFLTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes991193$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes39089$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes245215$0
99213Established patient office or other outpatient visit, 20-29 minutes20590$0
99497Advance care planning, first 30 minutes134122$0
View full utilization report →

Insurance plans in this area (ZIP 33755)

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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: 2264413152View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Physical Medicine And RehabilitationFL
-FL

Reviews

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Frequently asked questions

Does EDISON N TAN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EDISON N TAN (M.D.) uses 1962475533.
Can I rely on EDISON N TAN (M.D.) being an active provider?
As of the registry snapshot, EDISON N TAN (M.D.) is marked active.
What is EDISON N TAN (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for EDISON N TAN (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does EDISON N TAN (M.D.) serve?
EDISON N TAN (M.D.)'s listing highlights Clearwater, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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