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CONG THANH PHAN MD
NPI 1104454164
Ophthalmology - Retina Specialist in Monroeville, PA

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
300 OXFORD DR STE 300, MONROEVILLE, PA 15146(412) 683-5300(412) 349-8655 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2026, May 5, 2026, Jun 3, 2024 and 1 more (4 updates tracked since 2020).

About Cong Thanh Phan Md NPPES

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

CONG THANH PHAN MD (NPI 1104454164) is an individual retina specialist in Monroeville, Pennsylvania, licensed in Pennsylvania (MD493792) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104454164
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameCONG THANH PHANCredential: MD
Location Address300 OXFORD DR STE 300Monroeville, PA 15146-2357
Mailing Address300 Oxford Dr Ste 300Monroeville, PA 15146-2357 · (412) 683-5300 · Fax (412) 349-8655
Phone(412) 683-5300
Fax(412) 349-8655
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1104454164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses✔ Licensed in PA · MD493792✔ Licensed in WV · 36460
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License V0115 (TX)
300 OXFORD DR STE 300, Monroeville, PA 15146
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1221 Cabela DrTriadelphia, WV 26059-1022 · Phone (412) 349-8655 · Fax (412) 349-8655
Location 25303 Harry Hines Blvd, 6th FloorDallas, TX 75390 · Phone (214) 645-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Cong Thanh 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 ID547685737
PECOS Enrollment IDI20240529002667
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

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 4

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

MARK PIETRO SERALY MD
Ophthalmology
300 OXFORD DR STE 300
MONROEVILLE, PA 15146
Allegheny County (412) 683-5300
DEEPAM RUSIA M.D.
Ophthalmology (Retina Specialist)
300 OXFORD DR STE 300
MONROEVILLE, PA 15146
Allegheny County (412) 683-5300
DR. SHRIPAAD Y SHUKLA M.D.
Ophthalmology (Retina Specialist)
300 OXFORD DR STE 300
MONROEVILLE, PA 15146
Allegheny County (412) 683-5300
DR. JARED EVAN KNICKELBEIN MD/PHD
Ophthalmology (Retina Specialist)
300 OXFORD DR STE 300
MONROEVILLE, PA 15146
Allegheny County (412) 683-5300

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 Cong Phan's NPI number?

The NPI number for Cong Phan is 1104454164. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Cong Phan located?

Cong Phan practices at 300 Oxford Dr Ste 300, Monroeville, PA 15146. The listed phone number is (412) 683-5300.

What is Cong Phan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Cong Phan enrolled in Medicare?

Yes. Cong 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.

What insurance does Cong 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 3 other insurers list Cong 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 Cong Phan affiliated with any hospitals?

According to CMS data, Cong Phan is affiliated with Parkland Health & Hospital System, Jps Health Network and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Cong Phan was last updated on May 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.