1. Home
  2. Directory
  3. Arizona
  4. Gilbert
  5. Hospitalist
  6. NPI Profile

THANH VAN CAO MD
NPI 1295398394
Hospitalist in Gilbert, AZ

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
BANNER GATEWAY/ATTN BMG HOSPITALISTS, 1900 N HIGLEY DR, GILBERT, AZ 85234(480) 412-6788(480) 412-6848 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2023, Apr 16, 2019 (2 updates tracked since 2019).

About Thanh Van Cao Md NPPES

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

THANH VAN CAO MD (NPI 1295398394) is an individual hospitalist provider in Gilbert, Arizona, licensed in Arizona (66863) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine - Phoenix (2019).

NPPES Registry Identity

NPI1295398394
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTHANH VAN CAOCredential: MD
Location AddressBANNER GATEWAY/ATTN BMG HOSPITALISTS, 1900 N HIGLEY DRGilbert, AZ 85234
Mailing AddressBanner Gateway/attn Bmg Hospitalists, 1900 N Higley DrGilbert, AZ 85234 · (480) 412-6788 · Fax (480) 412-6848
Phone(480) 412-6788
Fax(480) 412-6848
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2019
Enumeration DateApril 16, 2019
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1295398394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 66863
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 66863 (AZ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
BANNER GATEWAY/ATTN BMG HOSPITALISTS, Gilbert, AZ 85234
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..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

Thanh Van Cao Md 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 ID9032509260
PECOS Enrollment IDI20220810002574
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 5

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 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.
401 services186 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.
138 services133 patients
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.
136 services86 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

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 Thanh Cao's NPI number?

The NPI number for Thanh Cao is 1295398394. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Thanh Cao located?

Thanh Cao practices at Banner Gateway/Attn Bmg Hospitalists 1900 N Higley Dr, Gilbert, AZ 85234. The listed phone number is (480) 412-6788.

What is Thanh Cao's specialty?

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

Is Thanh Cao enrolled in Medicare?

Yes. Thanh Cao 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 Thanh Cao accept?

Health plans from Oscar Health Plan, Inc. list Thanh Cao 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 Thanh Cao was last updated on January 18, 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.