Lancy Mimi Tan, MD
Surgery Physician · Shoreline, WA
Lancy Mimi Tan, MD is a surgery physician with a practice address in Shoreline, Washington, and NPI 1073044301, issued on Mar 27, 2017. Check the license (Washington MD61170965, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.
- Name
- Lancy Mimi Tan
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- MD61170965 WA
MD210187 OR
Self-reported in NPPES; status is on the state search - Practice location
- 19930 Ballinger Way NE, Shoreline, WA 98155
- Phone
- (425) 778-2220
- Enumerated
- Mar 27, 2017
- Record last updated
- Apr 5, 2024
- Fax
- (425) 778-7701
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 791 in Washington → Look up another NPI →
Also registered at 19930 Ballinger Way NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Katrina Burkholder, OTRL OCCUPATIONAL THOccupational Therapist1154516086
- Bradley Butterfield, LMHCAMental Health Counselor1801241690
- Patricia Clement, R.D., C.D., C.D.E.Registered Dietitian1184785990
- Nora Delavari, RDRegistered Dietitian1942791652
Verify Lancy Mimi Tan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWashington Medical Commission
Search for license MD61170965Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
84% fewer Medicare Part D claims than the average surgery physician in 2024
23 Medicare Part D claims for 15 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $3,166.01
20 payments; by number, the most common kind was travel and lodging; the largest payer was Medical Device Business Services, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Lancy Mimi Tan among 791 surgery physician records in Washington
Lancy Mimi Tan, MD is one of 791 surgery physician records with a practice address in Washington. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 83% of them.
- NPI issued2017 · 83% of these records are older, 14% newer
- In a Medicare fileYes · 69% of these records are
- In the CMS Doctors and Clinicians fileNo · 55% of these records are
- Record last updated2024 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Washington
There are 791 surgery physician records in Washington.
All 791 in Washington → Every provider in Shoreline → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Jedediah Kaufman, MDShoreline, WA 981551043228422
- Robert Landerholm, MDShoreline, WA 981551316960479
- Kurtis Stewart, MDShoreline, WA 981551306004676
- Brandon Vanderwel, M.D.Shoreline, WA 981551144667858
- Edwin Vyhmeister, MDShoreline, WA 981551316976459
- Alvina Won, MDShoreline, WA 981551063457976
- Nathan Avery, MDBurien, WA 981661417256132
- Carmen Hudson, M.D.Burien, WA 981661477649036
Common questions
What is Lancy Mimi Tan, MD's NPI number?
Lancy Mimi Tan, MD's National Provider Identifier (NPI) is 1073044301, issued on Mar 27, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Lancy Mimi Tan, MD located?
The NPPES record lists a practice address at 19930 Ballinger Way NE, Shoreline, WA, 98155. Phone: (425) 778-2220. Providers update this record themselves, so call before visiting.
How can I verify Lancy Mimi Tan, MD's license?
NPPES lists Washington license number MD61170965, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Lancy Mimi Tan, MD prescribe under Medicare Part D?
In 2024, Lancy Mimi Tan, MD had 23 Medicare Part D claims for 15 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.