Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRA V PHAM MD
NPI 1073045449
Obstetrics & Gynecology - Gynecology in Modesto, CA

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1441 FLORIDA AVE, MODESTO, CA 95350(209) 578-1211 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2026, Sep 3, 2026, Aug 12, 2026 and 4 more (7 updates tracked since 2021).

About Tra V Pham Md NPPES

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

TRA V PHAM MD (NPI 1073045449) is an individual gynecology provider in Modesto, California, licensed in California (A196360) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073045449
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameTRA V PHAMCredential: MD
Location Address1441 FLORIDA AVEModesto, CA 95350-4405
Mailing Address1324 W Pennsylvania AveSan Diego, CA 92103-3706
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateOctober 2, 20267 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1073045449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Licenses✔ Licensed in CA · A196360✔ Licensed in GA · 87896✔ Licensed in OR · MD212044
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 4301508282 (MI), 036179974 (IL)
1441 FLORIDA AVE, Modesto, CA 95350

Secondary Practice Locations 5

Location 11050 SW 3rd Ave Ste 3200Ontario, OR 97914-4560 · Phone (541) 881-2325 · Fax (208) 914-6701
Location 221400 E 11 Mile RdSaint Clair Shores, MI 48081-1566 · Phone (586) 498-4460
Location 342 N Saint Joseph Ave Ste 201Niles, MI 49120-2203 · Phone (269) 687-0808
Location 41081 N China Lake BlvdRidgecrest, CA 93555-3130 · Phone (760) 446-3551
Location 53950 Hollywood Rd Ste 100Saint Joseph, MI 49085-9151 · Phone (269) 429-8010

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tra V Pham 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 ID6507136793
PECOS Enrollment IDI20220718000287, I20230508002409
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Tra Pham reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
200 W COOLIDGE AVE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
Critical Access
1081 N CHINA LAKE BLVD
Ridgecrest, CA 93555
  • Reassigned Medicare billing, California enrollment
  • 143 clinicians in this Medicare group
Internal Medicine
1050 SW 3RD AVE, STE 3200
Ontario, OR 97914
  • Reassigned Medicare billing, Oregon enrollment
  • 49 clinicians in this Medicare group
Critical Access
900 SUNSET DR
La Grande, OR 97850
  • Reassigned Medicare billing, Oregon enrollment
  • 158 clinicians in this Medicare group
Critical Access
550 22ND ST
Astoria, OR 97103
  • Reassigned Medicare billing, Oregon enrollment
  • 278 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Internal Medicine
9623 RED ARROW HWY
Bridgman, MI 49106
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
Family Medicine
5 N ATKINSON DR
Ludington, MI 49431
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
Rural Health
78 N DIVISION ST
Hesperia, MI 49421
  • Reassigned Medicare billing, Michigan enrollment
  • 180 clinicians in this Medicare group
Internal Medicine
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 154 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacy Technician
1441 FLORIDA AVE
MODESTO, CA 95350
Family Medicine
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacist
1441 FLORIDA AVE
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Anesthesiology
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350

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 Tra Pham's NPI number?

The NPI number for Tra Pham is 1073045449. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Tra Pham located?

Tra Pham practices at 1441 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 578-1211.

What is Tra Pham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Tra Pham enrolled in Medicare?

Yes. Tra Pham 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.

Which organizations bill Medicare for Tra Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tra Pham reassigns Medicare benefits to 10 organizations: First Choice Physician Partners (Modesto, CA), Ridgecrest Regional Hospital (Ridgecrest, CA), Saint Alphonsus Medical Center- Ontario Inc (Ontario, OR), Grande Ronde Hospital, Inc. (La Grande, OR), Columbia Lutheran Charities (Astoria, OR) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tra Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tra Pham accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Priority Health and 2 other insurers list Tra Pham 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.

When was this NPI record last updated?

The NPPES record for Tra Pham was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.