CONNER CHAN (MD) – Dermatology Physician, NPI 1962669515

CONNER CHAN (MD) is a healthcare provider. based in Baytown, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. P2424 (TX). The NPI Number for CONNER CHAN (MD) is 1962669515

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
CONNER CHAN (MD)
NPI
1962669515
Phone
(281) 425-9375
Address
3730 EMMETT HUTTO BLVD
Enumeration Date
21 May 2008
Last Update Date
12 May 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2814259375
Graduation Year
2008 (18 years ago)
PAC ID
0941465033
Group Practice PAC ID
7810899580
Professional Enrollment ID
I20120621000701
Address ID
TX775211764BA3730XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for CONNER CHAN (MD)

  • 3730 EMMETT HUTTO BLVD

    BAYTOWN, TX 775211764

    Phone: (281) 425-9375

    Fax: (281) 427-4584

    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 125 Open Payments records for all available years, with a total value of $2,853.

Total Amount is formed as General ($2,853) + Research ($0) + Ownership ($0) = $2,853.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($413).

Total Amount

$2,853

General + Research + Ownership

Payments

125

Total payment records

General Amount

$2,853

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2012-06-21

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
I20120621000701IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths5,548764$0
99213Established patient office or other outpatient visit, 20-29 minutes1,288911$0
17000Destruction of precancer skin growth, 1 growth1,166856$0
99214Established patient office or other outpatient visit, 30-39 minutes703471$0
17004Destruction of precancer skin growth, 15 or more growths422295$0
View full utilization report →

Insurance plans in this area (ZIP 77521)

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Provider's Procedures

CONNER CHAN (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX17003Destruction of 2-14 skin growths6931977

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: 7810899580View full group profile
NameSpecialtyState
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to CONNER CHAN (MD)?
NPI 1962669515 is assigned to CONNER CHAN (MD) under the national enumeration system.
Is CONNER CHAN (MD) currently active in the NPI registry?
CMS-published data lists CONNER CHAN (MD) as an active registrant.
What kind of provider is CONNER CHAN (MD)?
The page reflects Dermatology Physician for CONNER CHAN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place CONNER CHAN (MD)?
The snapshot lists Baytown, Texas for CONNER CHAN (MD); download NPPES for the complete set.
How can I contact CONNER CHAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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