DR. TEDDY D PAN MD NPI 1609847979

NPI Information

  • NPI: 1609847979
  • Provider Name: DR. TEDDY D PAN, MD
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 EVERETT RD
    COLONIE, NY
    ZIP 12205
  • Phone: (518) 694-0999

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NPI Details

DR. Teddy D Pan, MD is a dermatopathology dermatology in Colonie, NY with 30 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DR. Teddy D Pan, MD NPI is 1609847979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:1996

The provider's business location address is:

105 EVERETT RD
COLONIE, NY
ZIP 12205-407
Phone: (518) 694-0999

The NPI 1609847979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 2/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathology239724-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H31751MEDICARE UPIN
2RB2498MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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