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Active NPI 1053577924 Individual Practitioner Male Practitioner

Dr. Jon Michael Chan , MD

Otolaryngology • Buffalo, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Chan, MD is a certified Otolaryngology practicing in Buffalo, NY. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Chan delivers high-quality medical care to the local community at 65 OAKLAND PL.

Dr. Chan maintains professional affiliations with Sanford Medical Center Fargo, Rockford Health Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope, diagnostic examination of nasal passages using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

65 Oakland Pl

Buffalo, NY 142222041

Telephone 6143663687
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Buffalo, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs -12.3 yrs vs City Avg
City Avg: 30.3 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
17 Specialists

Practicing in Buffalo, NY (808 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chan (18 Years) 18 Yrs
Buffalo Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
31 27 $195.90 $84.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
23 17 $289.22 $122.00
31575 Diagnostic exam of voice box using a flexible endoscope
18 15 $489.67 $116.98

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License IL 036.144383

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License OH 35.120793

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License NY 293812

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License PA MT193950

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License ND 23031

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (OH)
Commercial Insurance / Payer ID Nys License
293812 (NY)

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Sanford Medical Center Fargo

5225 23rd Ave S, Fargo, ND 581047927

Phone: 7014172575

Sanford Medical Center Fargo

801 Broadway N, Fargo, ND 581023641

Phone: 7012342000

Rockford Health Physicians

8201 E Riverside Blvd, Rockford, IL 611142300

Phone: 8159712000

Secondary Practice Locations

3316 Patriot Ct

Herrin, IL 629483782

Phone: 6189930307

300 W 10th Ave

Columbus, OH 432101280

Phone: 6142938074

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Victoria Nguyen , DO

Allergy & Immunology

NPI 1003319039

Doctor of Osteopathic Medicine (D.O.)

Dr. Christopher Brooks , MD

Allergy & Immunology

NPI 1003349630

Doctor of Medicine (M.D.)

NPI 1013591460

Doctor of Medicine (M.D.)

NPI 1023501509

Doctor of Audiology

Kathleen Moore , APRN-CNP

Nurse Practitioner - Adult Health

NPI 1053573717

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Jennifer Thompson , SLP

Speech-Language Pathologist

NPI 1053612234

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2025

Otolaryngology (License #35.120793 in OH)

📍
Updated Practice Location October 28, 2021

Registered at 65 OAKLAND PL, BUFFALO, NY 142222041 (Tel: 6143663687)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2020

Otolaryngology (License #MT193950 in PA)

📍
Updated Practice Location November 01, 2019

Registered at ELM AND CARLTON STREETS, BUFFALO, NY 142633782 (Tel: 7168452300)

📍
Updated Business Mailing Address November 01, 2019

Registered at 65 OAKLAND PL, BUFFALO, NY 142222041 (Tel: 6143663687)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2019

Otolaryngology (License #35.120793 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2018

Otolaryngology (License #293812 in NY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Otolaryngology (License #35.120793 in OH)

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 3316 PATRIOT CT, HERRIN, IL 629483782 (Tel: 6189930307)

📍
Updated Business Mailing Address October 03, 2017

Registered at 915 OLENTANGY RIVER RD, COLUMBUS, OH 432123153 (Tel: (614) 366-3687)

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as JON CHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Otolaryngology (License #036.144383 in IL)

NPI Profile Active May 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2013

Registered at 300 W 10TH AVE, COLUMBUS, OH 432101280 (Tel: 6142938074)

📍
Updated Business Mailing Address May 30, 2013

Registered at 915 OLENTANGY RIVER RD, COLUMBUS, OH 432123153 (Tel: 6143663687)

👤
Provider Name / Credentials Updated May 30, 2013

Recorded as JON CHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2013

Otolaryngology (License #35.120793 in OH)

🟢
Initial NPI Registration & Enumeration July 31, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053577924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2008
Last Update: September 29, 2025
Sole Proprietor: No

Mailing Address

65 Oakland Pl

Buffalo, NY 142222041

Phone: 6143663687

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.