Jon Michael Chan, M.D.
NPI 1053577924ActiveIndividual· Otolaryngology· Buffalo, NY
Otolaryngology (M.D.) with Sanford Medical Center Fargo, practicing in Buffalo, New York. 67 Medicare patients in 2024, $15,175 paid; nearly all of their 66 Part D prescriptions were generic (95%). Lists Sanford Medical Center Fargo as a hospital affiliation.
Overview
| NPI | 1053577924 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 31, 2008 |
| Last updated in NPPES | Sep 29, 2025 |
| Certified by provider | Sep 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 036.144383 | IL |
| Otolaryngology | 207Y00000X | 35.120793 | OH |
| Otolaryngology | 207Y00000X | 293812 | NY |
| Otolaryngology | 207Y00000X | MT193950 | PA |
| Otolaryngology | 207Y00000X | 23031 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Otolaryngology (IL); Practitioner - Otolaryngology (ND); Practitioner - Otolaryngology (NY); Practitioner - Otolaryngology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 138 across 34 procedure codes |
| Paid by Medicare | $15,175 |
Part D prescriptions in 2024
| Prescriptions (claims) | 66 · 69 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $2,947 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Otolaryngology |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Hospital affiliation
- Sanford Medical Center FargoFargo, ND
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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