MENG GAN (M.D.) – Radiation Oncology Physician, NPI 1649703901
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
61 RADIATION ONCOLOGY in UT
Provider Addresses for MENG GAN (M.D.)
5 S 500 W UNIT 1004
SALT LAKE CITY, UT 841014126
Phone: (208) 346-2473
Type: Mailing
2361 PAYSPHERE CIRCLE
CHICAGO, IL 60067
Phone: (800) 322-9183
Fax: (319) 272-2807
Type: Mailing
MERCYONE WATERLOO CANCER CENTER
200 E RIDGEWAY AVE STE, IA 50702
Phone: (319) 272-2800
Fax: (319) 272-2807
Type: Mailing
200 E RIDGEWAY AVE
WATERLOO, IA 507025060
Phone: (319) 272-2800
Fax: (319) 272-2807
Type: Location
2520 ELISHA AVENUE
ZION, IL 60099
Phone: (800) 322-9183
Fax: (319) 272-2807
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $655.
Total Amount is formed as General ($655) + Research ($0) + Ownership ($0) = $655.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novocure Inc. ($306).
Total Amount
$655
General + Research + Ownership
Payments
17
Total payment records
General Amount
$655
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-08-31
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 |
|---|---|---|---|---|
| I20240831000617 | I | Radiation Oncology | 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 |
|---|---|---|---|---|
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 1,109 | 91 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 289 | 108 | $0 |
| 77300 | Calculation of radiation therapy dose | 221 | 66 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 165 | 70 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 75 | 75 | $0 |
Insurance plans in this area (ZIP 84101)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery | OK | |
| Interventional Radiology, Diagnostic Radiology | IL | |
| General Surgery, Surgical Oncology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Pulmonary Disease | IL | |
| Radiation Oncology | IL | |
| Registered Dietitian Or Nutrition Professional | NY | |
| Medical Oncology | IL | |
| Nurse Practitioner | IL | |
| P A T H O L O G Y | IL |
Reviews
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