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DOUGLAS M PHAN M.D.
NPI 1013073766
Otolaryngology in Modesto, CA

Active since December 28, 2006PECOS Enrolled
1541 FLORIDA AVE STE 304, MODESTO, CA 95350(209) 577-3388(209) 521-3262 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas M Phan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS M PHAN M.D. (NPI 1013073766) is an individual otolaryngology provider in Modesto, California, licensed in California (G51181) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Quincy, and is a graduate of Stanford University School Of Medicine (1982).

NPPES Registry Identity

NPI1013073766
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDOUGLAS M PHANCredential: M.D.
Location Address1541 FLORIDA AVE STE 304Modesto, CA 95350-4439
Mailing Address927 Broadway St, Suite 322Quincy, IL 62301-2719 · (217) 223-8400
Phone(209) 577-3388
Fax(209) 521-3262
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 1982
Enumeration DateDecember 28, 2006
Last NPPES UpdateJanuary 16, 2019
✔ NPI 1013073766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · G51181
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1541 FLORIDA AVE STE 304, Modesto, CA 95350
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Secondary Practice Location 1

Location 1927 Broadway St, Suite 322Quincy, IL 62301-2719 · Phone (217) 223-8400 ext. 7891

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas M Phan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163694258
PECOS Enrollment IDI20170524002964
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
320 services201 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
226 services226 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
171 services100 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
39 services37 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN CHARLES PFEFFER M.D.
Obstetrics & Gynecology
1541 FLORIDA AVE STE 304
MODESTO, CA 95350
Stanislaus County (209) 522-1027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Phan's NPI number?

The NPI number for Douglas Phan is 1013073766. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Douglas Phan located?

Douglas Phan practices at 1541 Florida Ave Ste 304, Modesto, CA 95350. The listed phone number is (209) 577-3388.

What is Douglas Phan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Douglas Phan enrolled in Medicare?

Yes. Douglas Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Phan was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.