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TAM NHAT CUNG DO
NPI 1194012161
Family Medicine in Mckinney, TX

Active since June 29, 2011PECOS EnrolledAccepts Medicare Assignment
1402 S CUSTER RD STE 401, MCKINNEY, TX 75072(469) 714-0057 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2022, Mar 7, 2019, Jun 17, 2016 and 1 more (4 updates tracked since 2015).

About Tam Nhat Cung Do NPPES

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

TAM NHAT CUNG DO (NPI 1194012161) is an individual family medicine provider in Mckinney, Texas, licensed in Texas (Q5993) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains 18 additional practice locations, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2011).

NPPES Registry Identity

NPI1194012161
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTAM NHAT CUNGCredential: DO
Location Address1402 S CUSTER RD STE 401Mckinney, TX 75072-1452
Mailing Address1402 S Custer Rd Ste 401Mckinney, TX 75072-1452 · (469) 714-0057 · Fax (469) 757-2388
Phone(469) 714-0057
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2011
Enumeration DateJune 29, 2011
Last NPPES UpdateMay 28, 20244 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1194012161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q5993
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1402 S CUSTER RD STE 401, Mckinney, TX 75072
Open in Google Maps ↗

Secondary Practice Locations 18

Location 12000 W Spring Creek PkwyPlano, TX 75023-4205 · Phone (469) 714-0057
Location 26410 Old Orchard DrPlano, TX 75023-4130 · Phone (214) 714-0057
Location 312400 Preston RdDallas, TX 75230-1866 · Phone (469) 714-0057
Location 4650 S Greenville AveAllen, TX 75002-3037 · Phone (469) 714-0057
Location 53325 W Plano PkwyPlano, TX 75075-8010 · Phone (469) 714-0057
Location 67502 Greenville AveDallas, TX 75231-3802 · Phone (469) 714-0057
Location 73505 S Buckner BlvdDallas, TX 75227-5451 · Phone (469) 714-0057
Location 83505 S Buckner Blvd Bldg 4Dallas, TX 75227-5451 · Phone (469) 714-0057
Location 91525 Pleasant Valley RdGarland, TX 75040-4327 · Phone (469) 714-0057
Location 107904 Chiesa RdRowlett, TX 75089-4562 · Phone (469) 714-0057
Location 111940 W Spring Creek PkwyPlano, TX 75023-4265 · Phone (214) 714-0057
Location 123400 Miles RdSachse, TX 75048-4619 · Phone (469) 714-0057
Location 132022 Orchard TrlGarland, TX 75040-4458 · Phone (469) 714-0057
Location 141451 S Greenville AveAllen, TX 75002-4186 · Phone (469) 714-0057
Location 15720 Creek Valley CtAllen, TX 75002-5294 · Phone (469) 714-0057
Location 164045 W 15th StPlano, TX 75093-5891 · Phone (469) 714-0057
Location 172828 Nature WayFrisco, TX 75033-3286 · Phone (469) 714-0057
Location 18711 Matador LnMesquite, TX 75149-8830 · Phone (469) 714-0057

Other Identifiers 1

Medicaid360740002TX

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

Tam Nhat Cung Do 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 ID1951694710
PECOS Enrollment IDI20160801002096, I20190820000496
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 14

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,274 services125 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
623 services107 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
80 services47 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
68 services65 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
61 services26 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
57 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75072 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$24.92 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers15 claims180 services$1.98 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
3 suppliers23 claims23 services$4.15 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers25 claims34 services$7.30 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers23 claims23 services$40.88 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier31 claims31 services$17.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HOME OF ST THERESA HOSPICE LLC
Hospice Care, Community Based
1402 S CUSTER RD STE 401
MCKINNEY, TX 75072
Collin County (469) 768-9944

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 Tam Cung's NPI number?

The NPI number for Tam Cung is 1194012161. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Tam Cung located?

Tam Cung practices at 1402 S Custer Rd Ste 401, Mckinney, TX 75072. The listed phone number is (469) 714-0057.

What is Tam Cung's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tam Cung enrolled in Medicare?

Yes. Tam Cung 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 Tam Cung accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Tam Cung 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.

When was this NPI record last updated?

The NPPES record for Tam Cung was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.