ANDREW W CHAN (PA-C) – Physician Assistant, NPI 1699384784
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANDREW W CHAN (PA-C)
1629 S PRAIRIE AVE UNIT 1202
CHICAGO, IL 606165059
Phone: (773) 808-8441
Type: Mailing
281 BROADWAY
NEW YORK, NY 100072019
Phone: (646) 596-7386
Type: Location
7319 NORTH AVE
RIVER FOREST, IL 603051220
Phone: (708) 665-7000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $638.
Total Amount is formed as General ($638) + Research ($0) + Ownership ($0) = $638.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: ABBVIE INC. ($245).
Total Amount
$638
General + Research + Ownership
Payments
33
Total payment records
General Amount
$638
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $245 |
| PFIZER INC. | $200 |
| UPSHER-SMITH LABORATORIES LLC | $50 |
| Currax Pharmaceuticals LLC | $31 |
| Neurocrine BioSciences, Inc. | $25 |
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: 2021-05-07
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 |
|---|---|---|---|---|
| I20210507000492 | I | Physician Assistant | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60616)
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