YAN PENG (MD) – Anatomic Pathology Physician, NPI 1124097662

YAN PENG (MD) is a healthcare provider. based in Dallas, Texas. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. M2013 (TX). The NPI Number for YAN PENG (MD) is 1124097662

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
YAN PENG (MD)
NPI
1124097662
Phone
(214) 648-1620
Address
PO BOX 845347
Enumeration Date
16 March 2006
Last Update Date
1 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2145905582
Graduation Year
1986 (40 years ago)
PAC ID
0840226742
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20050712000932
Address ID
TX752357708DA5201XVLVD400
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

1,394 PATHOLOGY in TX

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Provider Addresses for YAN PENG (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752845347

    Phone: (214) 648-1620

    Fax: (214) 648-4080

    Type: Mailing

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753907208

    Phone: (214) 648-1620

    Fax: (214) 648-4080

    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 $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

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: 2005-07-12

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
I20050712000932IPathologyTXTBD

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
88360Microscopic genetic analysis of tumor, manual22055$0
88305Pathology examination of tissue using a microscope, intermediate complexity14482$0
88307Pathology examination of tissue using a microscope, moderately high complexity8635$0
88341Special stained specimen slides to examine tissue, each additional procedure8533$0
88331Pathology examination of specimen during surgery, first tissue block7832$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

YAN PENG (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTX88307Pathology examination of tissue using a microscope, moderately high complexity10735
PATHOLOGYTX88342Tissue or cell analysis by immunologic technique2923

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: 0648188250View full group profile
NameSpecialtyState
-TX
Diagnostic RadiologyTX
Anesthesiology, Pain ManagementFL
-TX
Internal MedicineTX
-TX
U R O L O G YTX
-TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Does YAN PENG (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — YAN PENG (MD) uses 1124097662.
Can I rely on YAN PENG (MD) being an active provider?
As of the registry snapshot, YAN PENG (MD) is marked active.
What is YAN PENG (MD) best known for clinically?
Directory data describes YAN PENG (MD) with Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
What area does YAN PENG (MD) serve?
YAN PENG (MD)'s listing highlights Dallas, Texas; more addresses can appear in NPPES.
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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