DR. EMMANUEL TRUNGTOAN TAVAN (MD) – Pulmonary Disease Physician, NPI 1003007907
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PULMONARY DISEASE in OR
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Provider Addresses for DR. EMMANUEL TRUNGTOAN TAVAN (MD)
6223, Southeast Grant Street, Mount Tabor, Portland, Metro, Multnomah County, Oregon, 97215, United States
PORTLAND, OR 972154058
Phone: (503) 774-6308
Type: Mailing
Legacy Medical Group - Emanuel, 2800, North Vancouver Avenue, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States
SUITE 230
PORTLAND, OR 972271630
Phone: (503) 413-2901
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($21).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $21 |
| Amgen Inc. | $16 |
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: 2013-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130820000325 | I | Pulmonary Disease | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 65 | $0 |
| 99291 | Critical care, first 30-74 minutes | 48 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 43 | 35 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 19 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 28 | 13 | $0 |
Insurance plans in this area (ZIP 97215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Pediatric Medicine | OR | |
| Internal Medicine | OR | |
| - | OR | |
| Medical Genetics And Genomics | WA | |
| Nurse Practitioner | OR | |
| Cardiovascular Disease (Cardiology) | OR | |
| - | OR | |
| - | OR | |
| - | WA | |
| Physician Assistant | OR |
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