Active NPI 1073802765 Individual Practitioner Female Practitioner

Dr. Ashley Charter Pan , MD

Internal Medicine • Cypress, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ashley Pan, MD is a registered healthcare professional specializing in Internal Medicine in Cypress, TX. Practice services are available at 25282 NORTHWEST FWY STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25282 Northwest Fwy Ste 200

Cypress, TX 774291083

Telephone 2817372165

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cypress, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

39 Specialists

Practicing in Cypress, TX (9538 Statewide)

Telehealth Adoption Rate

41.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	51	$236.00	$128.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$316.00	$180.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$242.00	$128.49

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	173	86	$236.00	$129.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	41	$316.00	$181.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$242.00	$130.57
99213 Established patient office or other outpatient visit, typically 15 minutes	43	33	$159.00	$91.93
G0008 Administration of influenza virus vaccine	34	33	$67.35	$31.28
90662 Influenza vaccine split virus, preservative free	33	32	$77.09	$71.31
G0009 Administration of pneumococcal vaccine	26	26	$55.00	$31.28
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	24	24	$594.00	$281.07
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$48.00	$14.73

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	114	61	$316.00	$185.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	69	$236.00	$131.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$242.00	$134.17
90662 Influenza vaccine split virus, preservative free	30	29	$72.00	$66.15
G0008 Administration of influenza virus vaccine	30	29	$55.00	$30.26
G0009 Administration of pneumococcal vaccine	22	22	$55.00	$30.45
0124A Fee covid-19 vac 13 res	20	20	$80.00	$39.96
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$159.00	$93.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$363.00	$171.97
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	14	14	$80.00	$40.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$187.00	$131.80
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$594.00	$278.82
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$48.00	$13.41

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	121	65	$236.00	$135.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	23	$316.00	$190.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$363.00	$175.52
G0008 Administration of influenza virus vaccine	29	29	$55.00	$17.49
90662 Influenza vaccine split virus, preservative free	26	26	$72.00	$65.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$242.00	$139.26
G0009 Administration of pneumococcal vaccine	15	15	$55.00	$17.47
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$159.00	$95.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$187.00	$125.92

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	79	49	$236.00	$113.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$363.00	$169.69
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$159.00	$77.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	14	$316.00	$152.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$225.18	$104.83
G0008 Administration of influenza virus vaccine	16	16	$55.00	$17.16
90662 Influenza vaccine split virus, preservative free	13	13	$72.00	$60.98
G0009 Administration of pneumococcal vaccine	11	11	$55.00	$15.42

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	264	141	$267.81	$80.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	25	$355.60	$103.47
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$176.45	$57.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$363.00	$168.34

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	370	166	$270.00	$77.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	38	$360.00	$113.77

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	567	202	$270.00	$78.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	39	$360.00	$110.00
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$183.00	$51.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$283.00	$116.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$415.00	$126.80

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q3937

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Gabriela Nicola , MD

Internal Medicine

NPI 1164674628

Doctor of Medicine (M.D.)

Sharleen Botero , FNP-C

Nurse Practitioner - Family

NPI 1932862679

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 14, 2019

Registered at 25282 NORTHWEST FWY STE 200, CYPRESS, TX 774291083 (Tel: 2817372165)

📍

Updated Business Mailing Address October 14, 2019

Registered at 25282 NORTHWEST FWY STE 200, CYPRESS, TX 774291083 (Tel: 2817372165)

✅

NPI Profile Active August 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2015

Registered at 10121 EMMETT F LOWRY EXPY, TEXAS CITY, TX 775912286 (Tel: 4099869686)

📍

Updated Business Mailing Address August 27, 2015

Registered at 10121 EMMETT F LOWRY EXPY, TEXAS CITY, TX 775912286 (Tel: 4099869686)

👤

Provider Name / Credentials Updated August 27, 2015

Recorded as ASHLEY PAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2015

Internal Medicine (License #Q3937 in TX)

🟢

Initial NPI Registration & Enumeration April 04, 2011

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: 1073802765

Entity Type:

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

Enumeration Date: April 04, 2011

Last Update: October 14, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

25282 Northwest Fwy Ste 200

Cypress, TX 774291083

Phone: 2817372165

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.