SYED GHAZANFAR HASAN (DO) – Psychiatry Physician, NPI 1053809442
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
541 PSYCHIATRY in TN
Provider Addresses for SYED GHAZANFAR HASAN (DO)
ETSU PSYCHIATRY AND BEHAVIORAL SCIENCES DEPARTMENT
1276 GILBREATH DR.
JOHNSON CITY, TN 37604
Phone: (423) 439-8000
Type: Location
PO BOX 70567
JOHNSON CITY, TN 376141707
Phone:
Type: Mailing
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.
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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: 2022-10-17
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 |
|---|---|---|---|---|
| I20221017002360 | I | Psychiatry | IL | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 200 | 54 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 41 | 37 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Endocrinology, Internal Medicine | IL | |
| E N D O C R I N O L O G Y | IL | |
| P S Y C H I A T R Y | IL | |
| Family Practice | IL | |
| Internal Medicine | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| Family Practice | IL |
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