YAN GENG (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1104146620

YAN GENG (MD) is a healthcare provider. based in Portland, Oregon. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD60556212 (WA). The NPI Number for YAN GENG (MD) is 1104146620

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
YAN GENG (MD)
NPI
1104146620
Phone
Not provided
Address
PO BOX 3360
Enumeration Date
7 June 2010
Last Update Date
19 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604597282
Graduation Year
1999 (27 years ago)
PAC ID
7012168990
Group Practice PAC ID
3678639879
Professional Enrollment ID
I20150714001783
Address ID
WA985028701OL3920XSWXX504

Contacts

Secure Messaging
ygeng817555@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

Provider Addresses for YAN GENG (MD)

  • PO BOX 3360

    PORTLAND, OR 972083360

    Phone:

    Type: Mailing

  • 1450 NORTHWEST LN SE STE A

    LACEY, WA 985036908

    Phone: (360) 491-4460

    Fax: (360) 491-3090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-07-14

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
I20150714001783IFamily PracticeWATBD

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 minutes312125$0
99213Established patient office or other outpatient visit, 20-29 minutes174115$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8080$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2323$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 3678639879View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for YAN GENG (MD)?
Save NPI 1104146620 if you need a stable reference for YAN GENG (MD).
Is YAN GENG (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does YAN GENG (MD) treat or focus on?
Patients typically see YAN GENG (MD) under the specialty Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place YAN GENG (MD)?
The snapshot lists Portland, Oregon for YAN GENG (MD); download NPPES for the complete set.
Is YAN GENG (MD) a real provider?
This page reflects official NPPES data for NPI 1104146620. Always confirm identity and privileges with the practice and licensing boards.

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