DR. TIMOTHY I CHAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1790955367

DR. TIMOTHY I CHAN (DPM) is a healthcare provider. based in Las cruces, New Mexico. specializing in Foot & Ankle Surgery Podiatrist. They hold the professional credentials DPM. They hold a License No. POD416 (NM). The NPI Number for DR. TIMOTHY I CHAN (DPM) is 1790955367

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY I CHAN (DPM)
NPI
1790955367
Phone
(575) 521-0055
Address
2800 DORAL CT
Enumeration Date
10 March 2008
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5755210055
Graduation Year
2003 (23 years ago)
PAC ID
9537297940
Group Practice PAC ID
1456253913
Professional Enrollment ID
I20200312001239
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TIMOTHY I CHAN (DPM)

  • Carlos Cadena DPM, 2800, Doral Court, Las Cruces, Doña Ana County, New Mexico, 88004, United States

    LAS CRUCES, NM 880118616

    Phone: (575) 521-0055

    Fax: (352) 688-5415

    Type: Mailing

  • 9040 JACKSON AVE

    TACOMA, WA 984310001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,525.

Total Amount is formed as General ($1,525) + Research ($0) + Ownership ($0) = $1,525.

Last reported payment date: 2024-10-12 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($919).

Total Amount

$1,525

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,525

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-12

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: 2020-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180608000312IPodiatryTXTBD
I20200312001239IPodiatryNMTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10785$0
11721Removal of fingernails or toenails, 6 or more nails7876$0
11056Removal of noncancer thickened skin growth, 2-4 growths2625$0
99214Established patient office or other outpatient visit, 30-39 minutes2622$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 88011)

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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: 1456253913View full group profile
NameSpecialtyState
P O D I A T R YNM
Nurse PractitionerNM
Nurse PractitionerNM
P O D I A T R YNM

Reviews

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Frequently asked questions

How do I look up DR. TIMOTHY I CHAN (DPM) by NPI?
Use NPI 1790955367 when you need to reference DR. TIMOTHY I CHAN (DPM) in forms, claims, or directories.
Does this profile mean DR. TIMOTHY I CHAN (DPM) is currently active?
Yes — DR. TIMOTHY I CHAN (DPM) appears active in the national provider directory.
What field does DR. TIMOTHY I CHAN (DPM) work in?
You can think of DR. TIMOTHY I CHAN (DPM) as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. TIMOTHY I CHAN (DPM)?
The snapshot lists Las Cruces, New Mexico for DR. TIMOTHY I CHAN (DPM); download NPPES for the complete set.
Is DR. TIMOTHY I CHAN (DPM) a real provider?
This page reflects official NPPES data for NPI 1790955367. Always confirm identity and privileges with the practice and licensing boards.

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