JEAN-PIERRE PHANCAO M.D.
NPI 1215054416
Radiology - Diagnostic Radiology in Novato, CA

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
500 REDWOOD BLVD STE 300, NOVATO, CA 94947(415) 464-8081 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2023, Jul 2, 2019 (2 updates tracked since 2019).

About Jean-pierre Phancao M.d. NPPES

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

JEAN-PIERRE PHANCAO M.D. (NPI 1215054416) is an individual diagnostic radiology provider in Novato, California, licensed in California (A97938) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Oklahoma Surgical Hospital, Llc, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1215054416
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJEAN-PIERRE PHANCAOCredential: M.D.
Location Address500 REDWOOD BLVD STE 300Novato, CA 94947-6921
Mailing AddressPo Box 6102Novato, CA 94948-6102 · (415) 884-3404
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 23, 2007
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1215054416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A97938
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
500 REDWOOD BLVD STE 300, Novato, CA 94947

Other Names 1

Other Name (5)Jean-pierre Phan Cao Phai M.d.

Other Identifiers 3

Medicaid00A979380CA
Medicaid0185469NJ
OtherP00480244CA · Railroad Medicare

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

Jean-pierre Phancao 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 ID9830298744
PECOS Enrollment IDI20070618000442, I20090413000247, I20191205003139, I20220222001434
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Jean-pierre Phancao reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
4 HAMILTON LANDING, SUITE 100
Novato, CA 94949
  • Reassigned Medicare billing, California and Hawaii enrollments
  • 111 clinicians in this Medicare group
Magnetic Resonance Imaging (MRI)
2351 CLAY ST STE 100
San Francisco, CA 94115
  • Reassigned Medicare billing, Hawaii enrollment
  • 8 clinicians in this Medicare group
Diagnostic Radiology
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California and Hawaii enrollments
  • 96 clinicians in this Medicare group
Multi-Specialty
2720 LOW CT
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
Radiology
957 BLANCO CIRCLE
Salinas, CA 93901
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
Neuromusculoskeletal Medicine, Sports Medicine
12 UPPER RAGSDALE DR
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 68 clinicians in this Medicare group
Orthopaedic Surgery
12 UPPER RAGSDALE DR
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 132 clinicians in this Medicare group
Orthopaedic Surgery
512 N YOUNG ST, SUITE C
Kennewick, WA 99336
  • Reassigned Medicare billing, Washington enrollment
  • 589 clinicians in this Medicare group
General Acute Care Hospital
2408 E 81ST ST, STE 900
Tulsa, OK 74137
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
Diagnostic Radiology
555 KINDERKAMACK RD
Oradell, NJ 07649
  • Reassigned Medicare billing, California and New Jersey enrollments
  • 10 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 21

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.

Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
740 services658 patients
X-ray of hand, 2 views 73120
An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
455 services236 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
394 services342 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
382 services193 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
373 services363 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
226 services214 patients

Hospital Affiliations CMS Care Compare

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

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94947 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
70%20 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
500 REDWOOD BLVD STE 300
NOVATO, CA 94947

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 Jean-pierre Phancao's NPI number?

The NPI number for Jean-pierre Phancao is 1215054416. It was assigned to this individual provider in the NPPES registry on March 23, 2007. The provider is also known as Jean-Pierre Phan Cao Phai M.D..

Where is Jean-pierre Phancao located?

Jean-pierre Phancao practices at 500 Redwood Blvd Ste 300, Novato, CA 94947. The listed phone number is (415) 464-8081.

What is Jean-pierre Phancao's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jean-pierre Phancao enrolled in Medicare?

Yes. Jean-pierre Phancao 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 Jean-pierre Phancao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean-pierre Phancao reassigns Medicare benefits to 10 organizations: Prima Medical Foundation (Novato, CA), California Pacific Advanced Imaging (San Francisco, CA), California Advanced Imaging Medical Associates Inc (San Francisco, CA), Sutter Valley Medical Foundation (Fairfield, CA), Salinas Valley Advanced Imaging Center Corporation (Salinas, CA) and 5 more organizations, listed in the Medicare section above. 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 Jean-pierre Phancao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean-pierre Phancao accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Wellmark Health Plan of Iowa, Inc. list Jean-pierre Phancao 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 Jean-pierre Phancao affiliated with any hospitals?

According to CMS data, Jean-pierre Phancao is affiliated with Oklahoma Surgical Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Jean-pierre Phancao was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.