JENNIFER THUY HO PHUNG M.D.
NPI 1114180999
Obstetrics & Gynecology in Stockton, CA

Q: What is Jennifer Phung's NPI number?

The NPI number for Jennifer Phung is 1114180999. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Q: What is Jennifer Phung's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Phung was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment

2545 W HAMMER LN, STOCKTON, CA 95209(209) 957-7050 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Thuy Ho Phung M.d. NPPES

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

JENNIFER THUY HO PHUNG M.D. (NPI 1114180999) is an individual obstetrics & gynecology provider in Stockton, California, licensed in California (A107567) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1114180999

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJENNIFER THUY HO PHUNGCredential: M.D.

Location Address2545 W HAMMER LNStockton, CA 95209-2839

Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097

Phone(209) 957-7050

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 2, 2008

Last NPPES UpdateSeptember 23, 2016

✔ NPI 1114180999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A107567

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedSpecialistTaxonomy 174400000X · License A107567 (CA)

2545 W HAMMER LN, Stockton, CA 95209

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Other Identifiers 4

Medicare PINZZZ14503ZCA

Other68-0277719CA · Group Tax Id

Medicaid00A1075670CA

Other1386636165CA · Group Npi

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

Jennifer Thuy Ho Phung M.d. 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 ID6800932724

PECOS Enrollment IDI20091007000425

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

60 services60 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.

52 services32 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.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95209 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.

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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.

DR. NKECHIYERE NICOLE EBOKA DO

Family Medicine