Active NPI 1376720052 Individual Practitioner Female Practitioner

Dr. Shevyll Arvie Siong Tan , MD

Internal Medicine • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shevyll Arvie Tan, MD is a certified Internal Medicine practicing in Gresham, OR. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Tan delivers high-quality medical care to the local community at 24988 STARK. ST., LEGACY MEDICAL GROUP MOUNT HOOD.

Dr. Tan is affiliated with The Vancouver Clinic Inc Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24988 Stark. St., Legacy Medical Group Mount Hood
Suite 220 Medical Office Bldg 3

Gresham, OR 97030

Telephone 9525834791

Associated Practice Facility / Clinic

🏢 Legacy Mount Hood Medical Center Facility NPI 1386919132

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gresham, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

38 Specialists

Practicing in Gresham, OR (2185 Statewide)

Telehealth Adoption Rate

18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tan (28 Years) 28 Yrs

Gresham Specialty Average (22.8 Years) 22.8 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	55	$584.00	$185.42
36415 Insertion of needle into vein for collection of blood sample	101	53	$23.00	$8.65
80053 Blood test, comprehensive group of blood chemicals	63	41	$29.00	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	62	44	$36.00	$13.12
83036 Hemoglobin A1C level	49	33	$26.00	$9.52
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	33	11	$105.00	$32.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$422.00	$134.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	18	$417.00	$132.32
99213 Established patient office or other outpatient visit, typically 15 minutes	29	20	$295.00	$94.14
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	20	$21.00	$7.61
82607 Cyanocobalamin (vitamin B-12) level	16	14	$41.00	$14.78
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	15	13	$54.00	$16.60
82570 Creatinine level to test for kidney function or muscle injury	13	13	$14.00	$5.08
82043 Urine microalbumin (protein) level	13	13	$16.00	$5.66
84443 Blood test, thyroid stimulating hormone (TSH)	12	11	$45.00	$16.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	77	$202.49	$90.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	38	$270.43	$114.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	30	$582.00	$182.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$259.39	$103.61
36415 Insertion of needle into vein for collection of blood sample	16	11	$18.31	$8.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$303.60	$59.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	119	$179.54	$82.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	126	71	$242.06	$94.66
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$125.94	$66.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$298.52	$48.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$185.86	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	126	$179.45	$101.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	62	$241.57	$147.95
99213 Established patient office or other outpatient visit, typically 15 minutes	52	45	$125.27	$68.63
99442 Telephone medical discussion with physician, 11-20 minutes	24	20	$136.83	$68.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$293.00	$136.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	88	$177.61	$79.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	117	89	$235.89	$113.95
99442 Telephone medical discussion with physician, 11-20 minutes	70	52	$134.20	$52.02
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$126.84	$52.63
99443 Telephone medical discussion with physician, 21-30 minutes	26	22	$189.00	$80.86
99441 Telephone medical discussion with physician, 5-10 minutes	21	18	$83.10	$26.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$289.77	$120.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	99	$169.20	$80.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	164	108	$227.00	$113.37
99213 Established patient office or other outpatient visit, typically 15 minutes	51	41	$114.76	$49.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$322.30	$172.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	81	72	$456.00	$162.95
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	60	35	$252.00	$89.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	50	$172.66	$78.94
99306 Initial nursing facility visit, typically 45 minutes per day	45	41	$456.00	$163.54
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	44	41	$252.00	$89.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$323.00	$171.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$227.00	$112.58
99316 Nursing facility discharge management, more than 30 minutes	25	22	$291.00	$103.92
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	24	16	$372.00	$133.79
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$114.00	$52.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	246	111	$243.76	$89.35
99306 Initial nursing facility visit, typically 45 minutes per day	233	198	$441.79	$162.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	149	56	$243.74	$89.46
99316 Nursing facility discharge management, more than 30 minutes	78	72	$281.69	$103.13
99306 Initial nursing facility visit, typically 45 minutes per day	76	51	$441.76	$162.80
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	65	38	$360.77	$132.65
99316 Nursing facility discharge management, more than 30 minutes	13	12	$281.54	$103.23

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD186467

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MN 50459

Hospital & Practice Group Affiliations

The Vancouver Clinic Inc Ps

11211 Se 82nd Ave, Happy Valley, OR 970867669

Phone: 3608822778

The Vancouver Clinic Inc Ps

7809 Ne Vancouver Plaza Dr, Vancouver, WA 986626639

Phone: 3608822778

Secondary Practice Locations

17 Exchange St W Ste 500

Saint Paul, MN 55102

Phone: 9525834791

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 27, 2018

Registered at 24988 STARK. ST., LEGACY MEDICAL GROUP MOUNT HOOD, SUITE 220 MEDICAL OFFICE BLDG 3, GRESHAM, OR 97030 (Tel: 9525834791)

📍

Updated Practice Location July 12, 2018

Registered at 17 EXCHANGE ST W STE 500, SAINT PAUL, MN 55102 (Tel: 9525834791)

📍

Updated Business Mailing Address July 12, 2018

Registered at PO BOX 4365, PORTLAND, OR 972084365 (Tel: 5034133900)

✅

NPI Profile Active February 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2012

Registered at 17 EXCHANGE ST W STE 500, SAINT PAUL, MN 551021224 (Tel: 9525834791)

📍

Updated Business Mailing Address February 10, 2012

Registered at 17 EXCHANGE ST W STE 500, SAINT PAUL, MN 551021224 (Tel: 9525834791)

👤

Provider Name / Credentials Updated February 10, 2012

Recorded as SHEVYLL ARVIE TAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2012

Internal Medicine (License #50459 in MN)

🟢

Initial NPI Registration & Enumeration January 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376720052

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 24, 2008

Last Update: September 27, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 4365

Portland, OR 972084365

Phone: 5034133900

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.