DR. EDWARD FUNG CHAN (MD) – Dermatopathology Physician, NPI 1417940941

DR. EDWARD FUNG CHAN (MD) is a healthcare provider. based in Media, Pennsylvania. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD069710L (PA). The NPI Number for DR. EDWARD FUNG CHAN (MD) is 1417940941

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD FUNG CHAN (MD)
NPI
1417940941
Phone
(610) 566-7111
Address
101 CHESLEY DR
Enumeration Date
30 August 2005
Last Update Date
25 April 2011

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6105667111
Graduation Year
1994 (32 years ago)
PAC ID
4385701127
Group Practice PAC ID
0244120756
Professional Enrollment ID
I20100918000097
Address ID
PA190631761ME101XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

808 DERMATOLOGY in PA

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Provider Addresses for DR. EDWARD FUNG CHAN (MD)

  • 101, Chesley Drive, Bowling Green, Nether Providence Township, Delaware County, Pennsylvania, 19063, United States

    SUITE 100

    MEDIA, PA 190631761

    Phone: (610) 566-7111

    Fax: (610) 891-6735

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $215.

Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($50).

Total Amount

$215

General + Research + Ownership

Payments

10

Total payment records

General Amount

$215

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-09-18

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
I20100918000097IDermatologyPATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity4,6342,700$0
17003Destruction of precancer skin growth, 2-14 growths2,650427$0
99213Established patient office or other outpatient visit, 20-29 minutes1,104798$0
17000Destruction of precancer skin growth, 1 growth810564$0
88342Special stained specimen slides to examine tissue, initial procedure412169$0
View full utilization report →

Insurance plans in this area (ZIP 19063)

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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: 0244120756View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
-PA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
Micrographic Dermatologic Surgery (Mds), DermatologyPA
Micrographic Dermatologic Surgery (Mds), DermatologyPA
D E R M A T O L O G YNJ

Reviews

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Frequently asked questions

Can I verify DR. EDWARD FUNG CHAN (MD) with an NPI only?
You can start verification with NPI 1417940941 for DR. EDWARD FUNG CHAN (MD), then check state licensing separately.
Can I rely on DR. EDWARD FUNG CHAN (MD) being an active provider?
As of the registry snapshot, DR. EDWARD FUNG CHAN (MD) is marked active.
What is DR. EDWARD FUNG CHAN (MD)'s primary classification?
Dermatopathology Physician is the headline specialty for DR. EDWARD FUNG CHAN (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. EDWARD FUNG CHAN (MD) based?
DR. EDWARD FUNG CHAN (MD) is tied to Media, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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