DR. LAWRENCE CHURNG-SHYUH FAN (M.D.) – Diagnostic Radiology Physician, NPI 1396876025
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for DR. LAWRENCE CHURNG-SHYUH FAN (M.D.)
109 Medical Cir
Sulphur Springs, TX 754822138
Phone: (903) 919-5220
Type: Location
1010 N 6th St
Longview, TX 756015534
Phone: (903) 757-9596
Fax: (855) 787-3871
Type: Location
5300 W MEMORIAL RD
APT. 22P
OKLAHOMA CITY, OK 731422029
Phone: (502) 263-3352
Type: Mailing
PO BOX 100
PARIS, TX 754610100
Phone: (903) 785-8521
Type: Mailing
3015 NE LOOP 286
PARIS, TX 754603433
Phone: (903) 785-8598
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-08-13
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 |
|---|---|---|---|---|
| I20180813000419 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 48,290 | 276 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 31,520 | 368 | $0 |
| 71250 | Ct scan of chest without contrast | 372 | 350 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 302 | 301 | $0 |
| 71046 | X-ray of chest, 2 views | 255 | 246 | $0 |
Insurance plans in this area (ZIP 75482)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX |
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