DR. KHUONG DINH PHAN D.O.
NPI 1033119540
Internal Medicine in Arlington, TX

Active since July 26, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1068691 · Waiver
86.99/100
CMS Quality Rating
8200 MATLOCK RD STE 100, ARLINGTON, TX 76002(817) 473-7197(817) 473-7198 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Khuong Dinh Phan D.o. NPPES

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

DR. KHUONG DINH PHAN D.O. (NPI 1033119540) is an individual internal medicine provider in Arlington, Texas, licensed in Texas (L7520) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 17, 2027, and is affiliated with Texas Health Arlington Memorial Hospital.

NPPES Registry Identity

NPI1033119540
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KHUONG DINH PHANCredential: D.O.
Location Address8200 MATLOCK RD STE 100Arlington, TX 76002-4805
Mailing Address8200 Matlock Rd Ste 100Arlington, TX 76002-4805 · (817) 473-7197 · Fax (817) 473-7198
Fax(817) 473-7198
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 26, 2005
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1033119540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · L7520
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8200 MATLOCK RD STE 100, Arlington, TX 76002

Secondary Practice Location 1

Location 1800 Highlander Ave Ste 200Midlothian, TX 76065-3515 · Phone (817) 473-7200 · Fax (817) 473-7198

Other Identifiers 4

OtherP00434893Medicare Railroad Ptan
Other8X9320Bcbs Pin
OtherDG4235Medicare Railroad Group
Medicaid180563202TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Khuong Dinh Phan D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224060462
PECOS Enrollment IDI20050908000429
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1068691

Khuong Phan, Do, PA · Arlington, TX
Active · expires May 17, 2027
CLIA Number45D1068691
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorKhuong O. Phan Do
Laboratory Phone(817) 473-7197
Laboratory LocationKhuong Phan, Do, PA8200 Matlock Road, Suite 100, Arlington, TX 76002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,847 services555 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
372 services339 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
286 services191 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
252 services225 patients
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.
169 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services25 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450064
Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County
Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Methodist Midlothian Medical Center

Acute Care Hospitals · Midlothian, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670300
Location1201 E Highway 287Midlothian, TX 76065 · Ellis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76002 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost42.13

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers23 claims116 services$6.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims43 services$1.19 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers18 claims18 services$27.22 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers13 claims26 services$1.11 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers19 claims19 services$73.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers19 claims57 services$29.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
8200 MATLOCK RD STE 100
ARLINGTON, TX 76002
Nurse Practitioner (Acute Care)
8200 MATLOCK RD STE 100
ARLINGTON, TX 76002
Internal Medicine
8200 MATLOCK RD STE 100
ARLINGTON, TX 76002
Internal Medicine
8200 MATLOCK RD STE 100
ARLINGTON, TX 76002
Nurse Practitioner (Family)
8200 MATLOCK RD STE 100
ARLINGTON, TX 76002
Nurse Practitioner (Primary Care)
8200 MATLOCK RD STE 100
ARLINGTON, TX 76002
Nurse Practitioner (Family)
8200 MATLOCK RD STE 100
ARLINGTON, TX 76002
Nurse Practitioner (Adult Health)
8200 MATLOCK RD STE 100
ARLINGTON, TX 76002

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 Khuong Phan's NPI number?

The NPI number for Khuong Phan is 1033119540. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Khuong Phan located?

Khuong Phan practices at 8200 Matlock Rd Ste 100, Arlington, TX 76002. The listed phone number is (817) 473-7197.

What is Khuong Phan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Khuong Phan enrolled in Medicare?

Yes. Khuong Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Khuong Phan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1068691) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Khuong Phan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Khuong Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Khuong Phan affiliated with any hospitals?

According to CMS data, Khuong Phan is affiliated with Texas Health Arlington Memorial Hospital, Medical City Arlington, Methodist Mansfield Medical Center and Methodist Midlothian Medical Center.

When was this NPI record last updated?

The NPPES record for Khuong Phan was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.