KEVIN HT PHAN MD
NPI 1033539150
Orthopaedic Surgery in Rancho Cucamonga, CA

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
67.84/100
CMS Quality Rating
8805 HAVEN AVE STE 200, RANCHO CUCAMONGA, CA 91730(909) 912-1750(909) 989-4477 Get Directions Write a Review

NPPES record last updated: June 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2021, Jul 27, 2020, Sep 19, 2019 (3 updates tracked since 2019).

About Kevin Ht Phan Md NPPES

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

KEVIN HT PHAN MD (NPI 1033539150) is an individual orthopaedic surgery provider in Rancho Cucamonga, California, licensed in Michigan (4301501266) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of University Of California, San Diego School Of Medicine (2014).

NPPES Registry Identity

NPI1033539150
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEVIN HT PHANCredential: MD
Location Address8805 HAVEN AVE STE 200Rancho Cucamonga, CA 91730-5157
Mailing Address1801 Orange Tree Ln Ste 200Redlands, CA 92374-4587 · (909) 557-1600 · Fax (909) 557-1732
Fax(909) 989-4477
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateJune 6, 20213 updates tracked since enumeration
NPPES CertifiedJune 6, 2021
NPI 1033539150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301501266
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

8805 HAVEN AVE STE 200, Rancho Cucamonga, CA 91730

Secondary Practice Location 1

Location 11111 Leffingwell Ave NEGrand Rapids, MI 49525-6406 · Phone (616) 459-7101

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

Kevin Ht Phan Md 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 ID9830511245
PECOS Enrollment IDI20210618001976
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 8

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.

X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
132 services75 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.
124 services86 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
105 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 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.
37 services32 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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.

67.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.66
Promoting Interoperability52
Improvement Activities40
Cost91.3

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$20.54 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 5

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

Physical Therapist
8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA 91730
Physical Therapist (Orthopedic)
8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA 91730
Physical Therapist
8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA 91730
Orthopaedic Surgery (Hand Surgery)
8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA 91730
Physician Assistant
8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA 91730

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 Kevin Phan's NPI number?

The NPI number for Kevin Phan is 1033539150. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Kevin Phan located?

Kevin Phan practices at 8805 Haven Ave Ste 200, Rancho Cucamonga, CA 91730. The listed phone number is (909) 912-1750.

What is Kevin Phan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Phan enrolled in Medicare?

Yes. Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Phan was last updated on June 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.