DR. JOHN J. PAN (M.D.) – Diagnostic Radiology Physician, NPI 1174740005

DR. JOHN J. PAN (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A89915 (CA). The NPI Number for DR. JOHN J. PAN (M.D.) is 1174740005

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN J. PAN (M.D.)
NPI
1174740005
Phone
(508) 856-5381
Address
55 LAKE AVE N # S2-824
Enumeration Date
20 April 2007
Last Update Date
27 February 2026

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
6175695800
Graduation Year
2002 (24 years ago)
PAC ID
1951402015
Group Practice PAC ID
6103814371
Professional Enrollment ID
I20070719000739
Address ID
MA021281920EA10XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for DR. JOHN J. PAN (M.D.)

  • 55 LAKE AVE N # S2-824

    WORCESTER, MA 016550002

    Phone: (508) 856-5381

    Type: Mailing

  • 736 Cambridge St

    Brighton, MA 02135

    Phone: (617) 789-2762

    Type: Location

  • 235 North Pearl St

    Brockton, MA 02301

    Phone: (508) 427-2665

    Fax: (508) 427-2368

    Type: Location

  • 70 East St

    Methuen, MA 018444597

    Phone: (978) 867-0151

    Fax: (978) 794-3784

    Type: Location

  • 1 General St

    Lawrence, MA 018412961

    Phone: (978) 683-4000

    Fax: (978) 946-8171

    Type: Location

  • 840 Harrison Ave

    Boston, MA 021182905

    Phone: (617) 638-6610

    Fax: (617) 638-6616

    Type: Location

  • 140 Lincoln Ave

    Haverhill, MA 018306700

    Phone: (978) 374-2000

    Type: Location

  • 10 Gove St

    East Boston, MA 02128

    Phone: (617) 569-5800

    Type: Location

  • 801 ALBANY ST FL G

    BOSTON, MA 021193791

    Phone:

    Type: Mailing

  • 840 HARRISON AVE

    BOSTON, MA 021182905

    Phone: (617) 638-6610

    Fax: (617) 638-6616

    Type: Location

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 55 FOGG RD

    SOUTH WEYMOUTH, MA 021902432

    Phone: (617) 784-0001

    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 $9,420.

Total Amount is formed as General ($0) + Research ($9,420) + Ownership ($0) = $9,420.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novo Nordisk AS ($5,500).

Total Amount

$9,420

General + Research + Ownership

Payments

11

Total payment records

General Amount

$0

General payments

Research Amount

$9,420

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2007-07-19

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
I20070719000739IDiagnostic RadiologyMATBD

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
73630X-ray of foot, minimum of 3 views171148$0
71045X-ray of chest, 1 view169157$0
73030X-ray of shoulder, minimum of 2 views147136$0
73502X-ray of hip, 2-3 views125121$0
73610X-ray of ankle, minimum of 3 views9989$0
View full utilization report →

Insurance plans in this area (ZIP 01655)

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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: 6103814371View full group profile
NameSpecialtyState
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JOHN J. PAN (M.D.)'s NPI?
Yes. DR. JOHN J. PAN (M.D.) is listed with NPI 1174740005 in the public NPI dataset.
Is DR. JOHN J. PAN (M.D.) listed as active for patients and plans?
The listing shows DR. JOHN J. PAN (M.D.) as active in the NPI system.
What is DR. JOHN J. PAN (M.D.) best known for clinically?
Directory data describes DR. JOHN J. PAN (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN J. PAN (M.D.) based?
DR. JOHN J. PAN (M.D.) is tied to Worcester, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about DR. JOHN J. PAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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