NIKKI DANIELLE YING TANG (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1740574169

NIKKI DANIELLE YING TANG (M.D.) is a healthcare provider. based in Medford, Oregon. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD195049 (OR). The NPI Number for NIKKI DANIELLE YING TANG (M.D.) is 1740574169

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
NIKKI DANIELLE YING TANG (M.D.)
NPI
1740574169
Phone
(541) 200-2777
Address
2924 SISKIYOU BLVD STE 200
Enumeration Date
2 June 2011
Last Update Date
2 January 2021

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
5413166575
Graduation Year
2011 (15 years ago)
PAC ID
1153609011
Group Practice PAC ID
4789005034
Professional Enrollment ID
I20190820003255
Address ID
OR971234112HI349XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,382 DERMATOLOGY in NY

Provider Addresses for NIKKI DANIELLE YING TANG (M.D.)

  • 2924 SISKIYOU BLVD STE 200

    MEDFORD, OR 975046462

    Phone: (541) 200-2777

    Fax: (541) 214-2575

    Type: Mailing

  • 2747 Crescent St Ste 206

    Astoria, NY 111023142

    Phone: (718) 626-8181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Organogenesis Inc. ($175).

Total Amount

$421

General + Research + Ownership

Payments

13

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2020-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190820003255IDermatologyORTBD
I20191212002230IDermatologyNYTBD
I20200612002431IDermatologyCATBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks152126$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks5136$0
17003Destruction of precancer skin growth, 2-14 growths4412$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm3736$0
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks3329$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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Provider's Procedures

NIKKI DANIELLE YING TANG (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMD13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2525

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: 4789005034View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Physician AssistantOR
Nurse PractitionerWA
Physician AssistantOR
D E R M A T O L O G YFL
D E R M A T O L O G YWA
Nurse PractitionerWA
General Practice, Radiation Oncology, General PracticeCA
Nurse PractitionerWA
Physician AssistantOR

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Frequently asked questions

Is NIKKI DANIELLE YING TANG (M.D.) listed with a National Provider Identifier?
Yes — NIKKI DANIELLE YING TANG (M.D.) has NPI 1740574169 on file in the registry.
Is there an active status for NIKKI DANIELLE YING TANG (M.D.)?
For scheduling context, NIKKI DANIELLE YING TANG (M.D.) is shown as active in the registry.
How would a patient describe NIKKI DANIELLE YING TANG (M.D.)'s focus?
For NIKKI DANIELLE YING TANG (M.D.), the primary taxonomy reads as MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NIKKI DANIELLE YING TANG (M.D.)?
Travel planning: use Medford, Oregon as the reference point for NIKKI DANIELLE YING TANG (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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