Doctor profile · Federal record
Dr. Djerrick Tan, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Mequon, WI
- NPI 1124002654
- Accepts Medicare
- 27 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
10945 N Port Washington RD Ste 201
Mequon, WI 530925078
(262) 292-3151 - Additional location
-
211 Park St
Attleboro, MA 027033143
(508) 222-5200 - Additional location
-
450 Veterans Memorial Pkwy Bldg 2
East Providence, RI 029145300
(401) 435-3041
fax (401) 435-3042
Credentials & registration
- NPI registered
- November 2005 — 21 yrs on file
- Profile last updated
- February 23, 2026
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (3)
- Wisconsin #47802 · Massachusetts #1025471 · Rhode Island #MD20361
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124002654. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,216
Distinct HCPCS
10
Medicare allowed
$99,986
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 393 | 370 | $8 | |
71250 |
Ct scan of chest without contrast | 274 | 268 | $49 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 227 | 220 | $82 | |
70450 |
Ct scan head or brain without contrast | 146 | 145 | $38 | |
71260 |
Ct scan of chest with contrast | 125 | 119 | $51 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 91 | 91 | $79 | |
71275 |
Ct scan of blood vessels of chest with contrast | 77 | 77 | $82 | |
74183 |
Mri scan of abdomen before and after contrast | 74 | 72 | $99 | |
71046 |
X-ray of chest, 2 views | 52 | 52 | $10 | |
71271 |
Low dose ct scan of chest for lung cancer screening | 52 | 52 | $49 |
In context: peer comparison
Among 15 peers in Mequon Diagnostic Radiology Physician, average services per provider: 67. This provider delivers 33× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Djerrick Tan's medical specialty?
Dr. Djerrick Tan practices Diagnostic Radiology Physician in Mequon, WI.
Where does Dr. Djerrick Tan practice?
Dr. Djerrick Tan practices at 10945 N Port Washington RD Ste 201, Mequon, WI 530925078. Office phone: 2622923151.
What is Dr. Djerrick Tan's NPI?
Dr. Djerrick Tan's National Provider Identifier (NPI) is 1124002654, issued by NPPES.
Does Dr. Djerrick Tan accept Medicare assignment?
Yes. Dr. Djerrick Tan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Djerrick Tan commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Ct scan of chest without contrast (HCPCS 71250); Ct scan of abdomen and pelvis with contrast (HCPCS 74177). Source: CMS Medicare Physician & Other Practitioners file.