Active NPI 1982621595 Individual Practitioner Male Practitioner

Dr. Domingo K Tan , MD

Surgery • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Domingo Tan, MD is a certified Surgery practicing in Fort Worth, TX. With approximately 41 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1985, Dr. Tan delivers high-quality medical care to the local community at 6100 HARRIS PARKWAY, SUITE 270.

Dr. Tan is affiliated with Texas Health Care Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, insertion of abdominal cavity catheter 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

6100 Harris Parkway, Suite 270

Fort Worth, TX 761324132

Telephone 8174335658

Fax 8175700173

Associated Practice Facility / Clinic

🏢 Texas Health Care, P.l.l.c. Facility NPI 1821026352

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Worth, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +15.8 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

77 Specialists

Practicing in Fort Worth, TX (2342 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tan (41 Years) 41 Yrs

Fort Worth Specialty Average (25.2 Years) 25.2 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$249.22	$110.89
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$193.97	$91.23
49324 Insertion of abdominal cavity catheter using an endoscope	34	33	$878.00	$385.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$377.41	$168.60
49422 Removal of abdominal cavity catheter	21	20	$900.00	$182.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$291.00	$129.46
49650 Repair of groin hernia using an endoscope	14	14	$1240.29	$467.20
36821 Relocation of arm vein with connection to arm artery, open procedure	11	11	$1627.00	$644.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$125.82	$57.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$233.00	$110.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$358.00	$152.63
49324 Insertion of abdominal cavity catheter using an endoscope	37	35	$878.00	$371.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$94.00	$56.22
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$156.00	$90.48
49650 Repair of groin hernia using an endoscope	25	25	$1239.48	$488.92
49422 Removal of abdominal cavity catheter	18	17	$900.00	$167.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$233.00	$112.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	47	$94.00	$56.73
49324 Insertion of abdominal cavity catheter using an endoscope	33	33	$878.00	$374.00
49422 Removal of abdominal cavity catheter	18	18	$900.00	$179.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$299.00	$134.12
49325 Revision of abdominal cavity catheter using an endoscope	11	11	$940.00	$407.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$233.00	$112.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	54	$94.00	$57.00
49324 Insertion of abdominal cavity catheter using an endoscope	46	44	$878.00	$367.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	12	$87.00	$38.42
49422 Removal of abdominal cavity catheter	24	23	$900.00	$195.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$299.00	$135.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$233.00	$107.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	66	$94.00	$45.66
49324 Insertion of abdominal cavity catheter using an endoscope	62	59	$878.00	$385.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	20	$87.00	$39.88
49422 Removal of abdominal cavity catheter	29	27	$900.00	$181.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$299.00	$139.63
49325 Revision of abdominal cavity catheter using an endoscope	18	17	$940.00	$420.39
36830 Connection of tube graft to vein and artery for dialysis	18	18	$1828.00	$670.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$233.00	$106.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	26	$87.00	$39.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$299.00	$136.95
49324 Insertion of abdominal cavity catheter using an endoscope	39	39	$878.00	$377.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	36	$94.00	$43.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$232.00	$108.73
36830 Connection of tube graft to vein and artery for dialysis	28	24	$1828.00	$666.60
47562 Removal of gallbladder using an endoscope	15	15	$2304.00	$662.50
49650 Repair of groin hernia using an endoscope	13	13	$1372.38	$514.81
36821 Relocation of arm vein with connection to arm artery, open procedure	11	11	$1627.00	$667.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$233.00	$105.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	62	$232.00	$105.58
36821 Relocation of arm vein with connection to arm artery, open procedure	32	32	$1627.00	$661.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$299.00	$131.41
49324 Insertion of abdominal cavity catheter using an endoscope	30	30	$878.00	$359.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$94.00	$42.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$87.00	$32.29
36830 Connection of tube graft to vein and artery for dialysis	23	22	$1828.00	$663.34
47562 Removal of gallbladder using an endoscope	19	19	$2304.00	$652.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$233.00	$105.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	39	$299.00	$135.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$232.00	$104.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	18	$87.00	$38.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$94.00	$43.01
49324 Insertion of abdominal cavity catheter using an endoscope	23	23	$878.00	$372.32
47562 Removal of gallbladder using an endoscope	17	17	$2304.00	$651.62
36821 Relocation of arm vein with connection to arm artery, open procedure	13	13	$1627.00	$664.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$46.00	$20.00
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2457.00	$677.88

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX H0872

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

113676406 (TX)

Commercial Insurance / Payer ID Railroad Medicare

020054588

Hospital & Practice Group Affiliations

Texas Health Care Pllc

6100 Harris Pkwy, Fort Worth, TX 761324101

Phone: 8173398855

Texas Health Care Pllc

6100 Harris Pkwy, Fort Worth, TX 761324132

Texas Health Care Pllc

6700 Buenos Aires Dr, N Richland Hills, TX 761806566

Phone: 8172818245

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2015

Registered at 6100 HARRIS PARKWAY, SUITE 270, FORT WORTH, TX 761324132 (Tel: 8174335658)

📍

Updated Business Mailing Address December 31, 2015

Registered at PO BOX 961205, FORT WORTH, TX 761611205 (Tel: 8177408400)

👤

Provider Name / Credentials Updated December 31, 2015

Recorded as DOMINGO TAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2015

Surgery (License #H0872 in TX)

🟢

Initial NPI Registration & Enumeration July 17, 2006

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: 1982621595

Entity Type:

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

Enumeration Date: July 17, 2006

Last Update: December 31, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 961205

Fort Worth, TX 761611205

Phone: 8177408400

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.