PHUNG TRAN DO
NPI 1104313774
Family Medicine in Vestal, NY

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
3101 SHIPPERS RD STE 203, VESTAL, NY 13850(607) 786-4822(607) 251-2010 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Mar 19, 2021, Apr 18, 2018 (3 updates tracked since 2018).

About Phung Tran Do NPPES

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

PHUNG TRAN DO (NPI 1104313774) is an individual family medicine provider in Vestal, New York, licensed in New York (308131) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and maintains a secondary practice location in Binghamton.

NPPES Registry Identity

NPI1104313774
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePHUNG TRANCredential: DO
Location Address3101 SHIPPERS RD STE 203Vestal, NY 13850-2082
Mailing Address247 Riverside DrBinghamton, NY 13905-4058 · (607) 972-9916
Fax(607) 251-2010
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2018
Enumeration DateApril 18, 2018
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1104313774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 308131
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3101 SHIPPERS RD STE 203, Vestal, NY 13850

Secondary Practice Location 1

Location 1169 Riverside DrBinghamton, NY 13905-4198 · Phone (607) 798-5111

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

Phung Tran Do 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 ID7214332295
PECOS Enrollment IDI20210830001868
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 4

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.
130 services66 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.
77 services22 patients
Osteopathic manipulative treatment, 9-10 body regions 98929
Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.
56 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services38 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Other Providers at the Same Location NPPES 4

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

Dietitian, Registered
3101 SHIPPERS RD STE 203
VESTAL, NY 13850
Family Medicine
3101 SHIPPERS RD STE 203
VESTAL, NY 13850
Family Medicine
3101 SHIPPERS RD STE 203
VESTAL, NY 13850
Physician Assistant
3101 SHIPPERS RD STE 203
VESTAL, NY 13850

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 Phung Tran's NPI number?

The NPI number for Phung Tran is 1104313774. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Phung Tran located?

Phung Tran practices at 3101 Shippers Rd Ste 203, Vestal, NY 13850. The listed phone number is (607) 786-4822.

What is Phung Tran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phung Tran enrolled in Medicare?

Yes. Phung Tran 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.

What insurance does Phung Tran accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Phung Tran 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 Phung Tran affiliated with any hospitals?

According to CMS data, Phung Tran is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Phung Tran was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.