EVAN TANK (DO) – Epilepsy Physician, NPI 1124316054
Epilepsy Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
454 PSYCHIATRY in OR
Provider Addresses for EVAN TANK (DO)
2801 N Gantenbein Ave
Portland, OR 972271623
Phone: (503) 413-2200
Type: Location
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-4000
Type: Location
25 MICHIGAN ST NE
SUITE 6100
GRAND RAPIDS, MI 495032515
Phone: (616) 267-7900
Type: Location
127 Health Care Dr
Pennington Gap, VA 242772853
Phone: (276) 546-5212
Type: Location
100 15th St NW
Norton, VA 242731616
Phone: (276) 439-1000
Type: Location
1519 Main St
Sneedville, TN 378693657
Phone: (423) 733-5070
Type: Location
1901 S Shady St
Mountain City, TN 376832021
Phone: (423) 727-1103
Type: Location
2000 Brookside Dr
Kingsport, TN 376604627
Phone: (423) 857-7000
Type: Location
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-1121
Type: Location
312 Hospital Dr
Clintwood, VA 242286786
Phone: (276) 926-0300
Type: Location
58 Carroll St
Lebanon, VA 242664510
Phone: (276) 883-8000
Type: Location
1990 Holton Ave E
Big Stone Gap, VA 242193350
Phone: (276) 523-3111
Type: Location
300 Med Tech Pkwy
Johnson City, TN 376042277
Phone: (423) 302-1000
Type: Location
601 John St Ste M-124
Kalamazoo, MI 490075377
Phone: (269) 341-7500
Type: Location
1701 S Creasy Ln
Lafayette, IN 479054972
Phone: (765) 502-4400
Fax: (765) 502-4401
Type: Location
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-6239
Fax: (231) 935-7251
Type: Location
1250 E Marshall St
Richmond, VA 232985023
Phone: (804) 828-9350
Fax: (804) 807-7949
Type: Location
275 MICHIGAN ST NE
GRAND RAPIDS, MI 495032531
Phone: (616) 267-7900
Fax: (616) 267-7901
Type: Location
851 Locust St
Rogersville, TN 378572407
Phone: (423) 921-7000
Type: Location
1420 Tusculum Blvd
Greeneville, TN 377454279
Phone: (423) 787-5000
Type: Location
1501 W Elk Ave
Elizabethton, TN 376432874
Phone: (423) 542-1300
Type: Location
400 N State of Franklin Rd
Johnson City, TN 376046035
Phone: (423) 431-6111
Type: Location
16000 Johnston Memorial Dr
Abingdon, VA 242117664
Phone: (276) 258-1000
Type: Location
245 Medical Park Dr
Marion, VA 243541100
Phone: (276) 378-1000
Type: Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $17,155.
Total Amount is formed as General ($17,155) + Research ($0) + Ownership ($0) = $17,155.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Neurelis, Inc. ($15,768).
Total Amount
$17,155
General + Research + Ownership
Payments
69
Total payment records
General Amount
$17,155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurelis, Inc. | $15,768 |
| UCB, Inc. | $861 |
| JAZZ PHARMACEUTICALS INC. | $382 |
| CATALYST PHARMACEUTICALS, INC. | $96 |
| ABBVIE INC. | $26 |
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: 2025-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20160623000568 | I | Neurology | MI | TBD |
| I20240215001466 | I | Neurology | VA | TBD |
| I20241014001793 | I | Neurology | IN | TBD |
| I20250213001806 | I | Neurology | NM | TBD |
| I20251031004188 | I | Psychiatry | WA | TBD |
| I20251201002628 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 113 | 75 | $0 |
| 95718 | Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional | 111 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 13 | $0 |
| 95700 | Measurement of brain wave activity (eeg), continuous | 14 | 14 | $0 |
| 95713 | Measurement of brain wave activity with video (veeg), 2-12 hours with continuous monitoring | 14 | 14 | $0 |
Insurance plans in this area (ZIP 97227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Vascular Surgery | IL | |
| - | MI | |
| - | MI | |
| A N E S T H E S I O L O G Y | TX | |
| Clinical Social Worker | MI |
Reviews
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