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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: August 09, 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
Phone(618) 234-2120
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)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269
Open in Google Maps ↗

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
619 services222 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.
192 services187 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
110 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
89 services59 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

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.

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Rehabilitation Unit
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
KATHRYN LOHMAN PA-C
Physician Assistant
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
MS. SHAMBRA CULLUM APN
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (217) 994-1485
ATA U. SIDDIQUI M.D.
Anesthesiology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
DR. VINCENT JOSEPH DUENAS MD
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CAITLIN ALONZO
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CEP AMERICA-ILLINOIS HOSPITALISTS, LLP
Internal Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
JENNIFER L CRIPPS CRNA
Nurse Anesthetist, Certified Registered
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120

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 Isaac Tran's NPI number?

The NPI number for Isaac Tran is 1154777597. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Isaac Tran located?

Isaac Tran practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 234-2120.

What is Isaac Tran's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Isaac Tran enrolled in Medicare?

Yes. Isaac 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.

Is Isaac Tran affiliated with any hospitals?

According to CMS data, Isaac Tran is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Isaac Tran was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.