LYN TANGEN (M.D.) – Colon & Rectal Surgery Physician, NPI 1417068131

LYN TANGEN (M.D.) is a healthcare provider. based in Urbana, Illinois. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials M.D.. They hold a License No. 036073498 (IL). The NPI Number for LYN TANGEN (M.D.) is 1417068131

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
LYN TANGEN (M.D.)
NPI
1417068131
Phone
(217) 383-6792
Address
611 W. PARK ST.
Enumeration Date
31 August 2006
Last Update Date
21 May 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2172585900
Graduation Year
1973 (53 years ago)
PAC ID
7315991122
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20050304000134
Address ID
IL619389388MA200XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

124 COLORECTAL SURGERY (PROCTOLOGY) in IL

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Provider Addresses for LYN TANGEN (M.D.)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012500

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    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 13 Open Payments records for all available years, with a total value of $363.

Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($123).

Total Amount

$363

General + Research + Ownership

Payments

13

Total payment records

General Amount

$363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2005-03-04

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
I20050304000134IColorectal Surgery (Proctology)ILTBD

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
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito3838$0
45380Biopsy of large bowel using a flexible endoscope3535$0
46600Diagnostic exam of anus using an endoscope3226$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2626$0
99213Established patient office or other outpatient visit, 20-29 minutes2412$0
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Insurance plans in this area (ZIP 61801)

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Provider's Procedures

LYN TANGEN (M.D.) performs procedures in COLORECTAL SURGERY (PROCTOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
COLORECTAL SURGERY (PROCTOLOGY)IL46600Diagnostic examination of the anus using an endoscope2621

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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

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Frequently asked questions

Where can patients find LYN TANGEN (M.D.)'s NPI?
You can confirm LYN TANGEN (M.D.) with NPI 1417068131; it appears in the national provider directory.
Is LYN TANGEN (M.D.)'s NPI currently valid?
The extract we use shows LYN TANGEN (M.D.) as active.
What field does LYN TANGEN (M.D.) work in?
You can think of LYN TANGEN (M.D.) as practicing within Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Does LYN TANGEN (M.D.) practice in Illinois?
You will see Urbana, Illinois on file for LYN TANGEN (M.D.) alongside any extra practice locations.
How can I contact LYN TANGEN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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