ADRIENNE MARIE PAN (D.O.) – Neurology Physician, NPI 1790123925

ADRIENNE MARIE PAN (D.O.) is a healthcare provider. based in Las vegas, Nevada. specializing in NEUROLOGY. They hold the professional credentials D.O.. They hold a License No. SL0950 (NV). The NPI Number for ADRIENNE MARIE PAN (D.O.) is 1790123925

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE MARIE PAN (D.O.)
NPI
1790123925
Phone
(702) 877-5199
Address
PO BOX 35380
Enumeration Date
10 June 2013
Last Update Date
25 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027322600
Graduation Year
2013 (13 years ago)
PAC ID
8729305313
Group Practice PAC ID
5799865903
Professional Enrollment ID
I20180629002416
Address ID
NV891484861LA9280XRDXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

165 NEUROLOGY in NV

Provider Addresses for ADRIENNE MARIE PAN (D.O.)

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 877-5199

    Type: Mailing

  • 4475 S EASTERN AVE

    LAS VEGAS, NV 89119

    Phone: (702) 877-5199

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 156 Open Payments records for all available years, with a total value of $3,079.

Total Amount is formed as General ($3,079) + Research ($0) + Ownership ($0) = $3,079.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($456).

Total Amount

$3,079

General + Research + Ownership

Payments

156

Total payment records

General Amount

$3,079

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2018-06-29

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
I20180629002416INeurologyNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2626$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

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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: 5799865903View full group profile
NameSpecialtyState
N E U R O L O G YNV
N E U R O L O G YNV
-NV

Reviews

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Frequently asked questions

What is the standard ID for ADRIENNE MARIE PAN (D.O.) in the U.S.?
In the U.S., ADRIENNE MARIE PAN (D.O.) is identified by NPI 1790123925.
Does the public listing show ADRIENNE MARIE PAN (D.O.) as active?
ADRIENNE MARIE PAN (D.O.)'s NPI record reflects an active status in NPPES.
Which specialty label fits ADRIENNE MARIE PAN (D.O.)?
NPPES ties ADRIENNE MARIE PAN (D.O.) to Neurology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ADRIENNE MARIE PAN (D.O.)?
The directory associates ADRIENNE MARIE PAN (D.O.) with Las Vegas, Nevada. Check all listed addresses for suites or satellite offices.
Who maintains ADRIENNE MARIE PAN (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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