DR. TOM DEJIAN YAN (M.D.) – Pulmonary Disease Physician, NPI 1962515742
Pulmonary Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
420 CRITICAL CARE (INTENSIVISTS) in WA
Provider Addresses for DR. TOM DEJIAN YAN (M.D.)
19917 7th Ave NE Ste 210
Poulsbo, WA 983706555
Phone: (564) 240-4000
Fax: (360) 377-0318
Type: Location
East Mill Plain Boulevard, Image, Vancouver, Clark County, Washington, 98664, United States
VANCOUVER, WA 986614329
Phone: (360) 735-5270
Type: Mailing
Kaiser Sunnyside Medical Center, 10180, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States
CLACKAMAS, OR 970159764
Phone: (503) 652-2880
Type: Location
1950 NW MYHRE RD FL 2
SILVERDALE, WA 983837662
Phone: (564) 240-4000
Fax: (564) 240-4049
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $5,251.
Total Amount is formed as General ($5,251) + Research ($0) + Ownership ($0) = $5,251.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,229).
Total Amount
$5,251
General + Research + Ownership
Payments
9
Total payment records
General Amount
$5,251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $5,229 |
| Insmed, Inc. | $23 |
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: 2007-11-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20071127000337 | I | Pulmonary Disease | WA | 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 |
|---|---|---|---|---|
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 505 | 161 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 372 | 283 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 248 | 236 | $0 |
| 85018 | Blood count, hemoglobin | 243 | 229 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 241 | 225 | $0 |
Insurance plans in this area (ZIP 98370)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | OR | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 11 | 11 |
| PULMONARY DISEASE | OR | 94727 | Determination of lung volumes using gas dilution or washout | 159 | 152 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| Physician Assistant | PA | |
| Physician Assistant | WA | |
| - | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA |
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