ISAAC TRAN M.D.
NPI 1154777597
Hospitalist in O Fallon, IL

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
90.77/100
CMS Quality Rating
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Isaac Tran M.d. NPPES

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

ISAAC TRAN M.D. (NPI 1154777597) is an individual hospitalist provider in O Fallon, Illinois, licensed in Illinois (036150198) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1154777597
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameISAAC TRANCredential: M.D.
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address2100 Powell St Ste 400Emeryville, CA 94608-1826 · (510) 350-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateSeptember 24, 2019
NPI 1154777597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036150198
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036150198 (IL)
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269

Secondary Practice Location 1

Location 13660 Vista AveSaint Louis, MO 63110-2540 · Phone (314) 977-6100 · Fax (314) 977-6164

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

Isaac Tran 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 ID3870881147
PECOS Enrollment IDI20190807002251
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
783 services237 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
128 services121 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
122 services80 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services68 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
37 services37 patients
Follow-up observation care per day, typically 35 minutes 99226
Follow-up observation care is a daily check-up service that lasts about 35 minutes. It involves monitoring your health progress after a treatment or procedure. The care team assesses your recovery and addresses any concerns or questions you may have.
33 services27 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.98
Improvement Activities40
Cost68.13

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.

Emergency Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Emergency Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Radiology (Vascular & Interventional Radiology)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Physician Assistant
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Internal Medicine (Critical Care Medicine)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154777597, enumerated as an "individual" on May 04, 2016.

The provider is located at 1 SAINT ELIZABETH BLVD O FALLON, IL 62269 and the phone number is (618) 234-2120.

Hospitalist with taxonomy code 208M00000X.

Isaac Tran is affiliated with: ST JOSEPHS HOSPITAL and HSHS ST ELIZABETH'S HOSPITAL.