CONG THANH PHAN MD
NPI 1104454164
Ophthalmology - Retina Specialist in Monroeville, PA
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
Specialties & Licenses 2
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Cong Phan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroeville, PA 15146
- Reassigned Medicare billing, Pennsylvania and West Virginia enrollments
- 11 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 5,299 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkland Health & Hospital System
Acute Care Hospitals · Dallas, TXJps Health Network
Acute Care Hospitals · Fort Worth, TXPhysician 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.
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.
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
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.
Which organizations bill Medicare for Cong Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cong Phan reassigns Medicare benefits to 2 organizations: Retina Vitreous Consultants Inc. (Monroeville, PA) and The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). 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 Cong Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cong Phan accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare and 1 other insurer 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 and Jps Health Network.
When was this NPI record last updated?
The NPPES record for Cong Phan was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Cong Thanh Phan, MD · NPI 1104454164
Retina Specialist physician in Monroeville, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1104454164 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** MD493792 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 OXFORD DR STE 300, Monroeville, PA 15146-2357
- **Phone:** (412) 683-5300 · **Fax:** (412) 349-8655
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Retina Vitreous Consultants Inc. (NPI 1063444123, Monroeville, PA); The University Of Texas Southwestern Medical Center At Dallas (NPI 1417099599, Tyler, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 2020
## Record status
- **NPPES last updated:** May 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104454164) · Data from the CMS NPPES public registry.