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Dr. Stephanie Minh-Thu Tan , DO

Pediatrics โ€ข Kyle, TX

Active NPI 1831629443 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

22420 Ih 35 Ste 203
Kyle, TX 786402656

Call 5122724636 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

22420 Ih 35 Ste 203

Kyle, TX 786402656

Telephone 5122724636
Fax 5124067327
Organization at the Same NPPES Address or Phone
Asc - South Austin Llc Facility NPI 1770445074

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Austin Regional Clinic Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare-allowed amount

About $426 in 2021

The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

Paid by Medicare

About $426 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $25.59 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Tan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Tan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kyle and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Tan are from 2021.

15 active clinicians are listed under Pediatrics with a practice address in Kyle, TX (5,642 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kyle

0% of these 15 clinicians have the CMS telehealth indicator.

13.3% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $25.59.

Manufacturer Payment Nature Product Type Amount ($)
SCPHARMACEUTICALS INC.
Food and Beverage
In-kind items and services
FUROSCIX General $25.59

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2021.

CMS Part B ยท Data Year 2021

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose
11 11 $72.00 $38.69

Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX S6003

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
414932001 (TX)
Medicaid ID
414932002 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20200803002756

Enrollment State Jurisdiction

TX

PECOS Control ID

3173893716

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Austin Regional Clinic Pa

4100 Everett, Kyle, TX 786406147

Phone: 5122951333

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
Dr. Tera Brooks , MD

Family Medicine

NPI 1245504380

Doctor of Medicine (M.D.)

Gay Carson , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1821471020

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Devyn Cline , MD

Family Medicine

NPI 1457911760

Doctor of Medicine (M.D.)

Shane Constable

Family Medicine

NPI 1497136816
NPI 1689937997

Doctor of Medicine (M.D.)

NPI 1588652168

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Business Mailing Address September 24, 2025

Registered at 6210 E HWY 290 STE 240, AUSTIN, TX 787231144 (Tel: 5123383826)

๐Ÿ‘ค
Provider Name / Credentials Updated September 24, 2025

Recorded as STEPHANIE TAN, DO

๐Ÿ“
Updated Business Mailing Address May 05, 2021

Registered at 6210 E US HWY 290, STE. 240 - CREDENTIALING, AUSTIN, TX 787231144 (Tel: 5123383826)

๐Ÿ“
Updated Business Mailing Address August 06, 2020

Registered at 6210 E US HWY 290, STE. 420 - CREDENTIALING, AUSTIN, TX 787231098 (Tel: 5123383826)

๐Ÿ“
Updated Practice Location May 28, 2020

Registered at 22420 IH 35 STE 203, KYLE, TX 786402656 (Tel: 5122724636)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2020

Pediatrics (license number reported to NPPES: TX S6003)

โœ…
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 15, 2017

Registered at 4440 W. 95TH STREET, OAK LAWN, IL 60453 (Tel: (708) 684-5341)

๐Ÿ“
Business Mailing Address (Initial Record) June 15, 2017

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086845341)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 15, 2017

Recorded as THU NGUYEN, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: IL 125070866)

๐ŸŸข
Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831629443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: September 24, 2025
Sole Proprietor: No

Mailing Address

6210 E Hwy 290 Ste 240

Austin, TX 787231144

Phone: 5123383826

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.