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HOANG-TUAN K PHAM DO
NPI 1255383873
Hospitalist in Monterey, CA

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
23625 WR HOLMAN HWY, MONTEREY, CA 93940(831) 622-2708(831) 622-2709 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hoang-tuan K Pham Do NPPES

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

HOANG-TUAN K PHAM DO (NPI 1255383873) is an individual hospitalist provider in Monterey, California, licensed in California (20A11044) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2003).

NPPES Registry Identity

NPI1255383873
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameHOANG-TUAN K PHAMCredential: DO
Location Address23625 WR HOLMAN HWYMonterey, CA 93940-5902
Mailing Address23625 Holman HwyMonterey, CA 93940-5902 · (831) 622-2708
Phone(831) 622-2708
Fax(831) 622-2709
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2003
Enumeration DateMay 16, 2006
Last NPPES UpdateOctober 22, 2019
✔ NPI 1255383873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · 20A11044
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 4423 (AZ), 20A11044 (CA)
23625 WR HOLMAN HWY, Monterey, CA 93940
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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

Hoang-tuan K Pham 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 ID5193728376
PECOS Enrollment IDI20100208000575
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 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.
1,143 services444 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
453 services433 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.
209 services128 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.
171 services166 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
164 services78 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
109 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.88
Improvement Activities0
Cost84.56

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims350 services$5.32 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,715 services$0.68 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 supplier62 claims62 services$16.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier72 claims72 services$82.30 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 20

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

DR. MITSUYO KOHAMA M.D.
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
JOSE ISHMAEL MENDEZ DO
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
DR. MARKO RAKIC M.B.B.S.
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
RICHARD ZUG, M.D., INC.
Surgery
23625 WR HOLMAN HWY, SUITE 3731
MONTEREY, CA 93940
Monterey County (831) 596-0708
SUSAN KIM M.D.
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
BRUCE L. HULTGREN MD
Anesthesiology
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 624-5311
MR. CHARLES C BATES MD
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
KIMBERLY DAWN-MARIE LANG FNP
Nurse Practitioner
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 624-5311

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 Hoang-tuan Pham's NPI number?

The NPI number for Hoang-tuan Pham is 1255383873. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Hoang-tuan Pham located?

Hoang-tuan Pham practices at 23625 Wr Holman Hwy, Monterey, CA 93940. The listed phone number is (831) 622-2708.

What is Hoang-tuan Pham's specialty?

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

Is Hoang-tuan Pham enrolled in Medicare?

Yes. Hoang-tuan Pham 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.

When was this NPI record last updated?

The NPPES record for Hoang-tuan Pham was last updated on October 22, 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.