DR. CHARMAINE SAN YEE CHAN (D.O.) – Family Medicine Physician, NPI 1467648519
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for DR. CHARMAINE SAN YEE CHAN (D.O.)
41 UNIVERSITY DR STE 106
NEWTOWN, PA 189401873
Phone: (610) 772-6889
Fax: (313) 887-1560
Type: Mailing
1, West Elm Street, Conshohocken, Montgomery County, Pennsylvania, 19428, United States
STE 100
CONSHOHOCKEN, PA 194284108
Phone: (215) 871-6380
Fax: (215) 871-6381
Type: Mailing
2630 Holme Ave Ste 101
Philadelphia, PA 191523004
Phone: (267) 957-7027
Type: Location
Rowland Hall, 4190, City Avenue, Pencoyd, Philadelphia, Philadelphia County, Pennsylvania, 19131, United States
SUITE 100
PHILADELPHIA, PA 191311626
Phone: (215) 871-6380
Fax: (215) 871-6381
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $21 |
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: 2012-12-07
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 |
|---|---|---|---|---|
| I20121207000107 | I | Family Practice | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 18940)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Family Practice | IL | |
| P O D I A T R Y | PA | |
| Certified Nurse Midwife (Cnm) | NJ | |
| Clinical Psychologist | PA | |
| Certified Nurse Midwife (Cnm) | PA |
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