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KHANH-KATHY H PHAN MD
NPI 1215985379
Family Medicine in Charlottesville, VA

Active since May 04, 2006PECOS Enrolled
95.11/100
CMS Quality Rating
3263 PROFFIT RD STE 201, CHARLOTTESVILLE, VA 22911(434) 654-4600(434) 975-1384 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2021, Aug 2, 2021, Oct 27, 2020 and 2 more (5 updates tracked since 2018).

About Khanh-kathy H Phan Md NPPES

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

KHANH-KATHY H PHAN MD (NPI 1215985379) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0101248799) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215985379
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKHANH-KATHY H PHANCredential: MD
Location Address3263 PROFFIT RD STE 201Charlottesville, VA 22911-5639
Mailing AddressPo Box 746550Atlanta, GA 30374-6550 · (888) 236-2263 · Fax (434) 975-1384
Phone(434) 654-4600
Fax(434) 975-1384
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 14, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1215985379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101248799
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.
3263 PROFFIT RD STE 201, Charlottesville, VA 22911
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khanh-kathy H Phan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Khanh-kathy Phan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Martha Jefferson Medical Group LLC
7.7 mi
Family Medicine
590 PETER JEFFERSON PKWY STE 300
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 307 clinicians in this Medicare group
NPI 1275720559 (434) 654-7340
University Of Virginia Physicians Group
8.6 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

JOSHUA LEE LANDIS APRN, FNP-C
Nurse Practitioner (Family)
3263 PROFFIT RD STE 201
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-4600
DR. DANIEL SCOTT BRENNAN M.D.
Family Medicine
3263 PROFFIT RD STE 201
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-4600
ALEXANDRA M BENDER MD
Family Medicine
3263 PROFFIT RD STE 201
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-4600

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 Khanh-kathy Phan's NPI number?

The NPI number for Khanh-kathy Phan is 1215985379. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Khanh-kathy Phan located?

Khanh-kathy Phan practices at 3263 Proffit Rd Ste 201, Charlottesville, VA 22911. The listed phone number is (434) 654-4600.

What is Khanh-kathy Phan's specialty?

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

Is Khanh-kathy Phan enrolled in Medicare?

Yes. Khanh-kathy Phan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Khanh-kathy Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khanh-kathy Phan reassigns Medicare benefits to 2 organizations: Martha Jefferson Medical Group LLC (Charlottesville, VA) and University Of Virginia Physicians Group (Charlottesville, VA). 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 Khanh-kathy Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Khanh-kathy Phan was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.