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DR. PETER T PHAN DO
NPI 1316998941
Emergency Medicine in Saint Joseph, MO

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
98.4/100
CMS Quality Rating
5325 FARAON ST, SAINT JOSEPH, MO 64506(816) 271-6122(816) 271-6019 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2024, Feb 28, 2023, Jan 14, 2021 (3 updates tracked since 2021).

About Dr. Peter T Phan Do NPPES

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

DR. PETER T PHAN DO (NPI 1316998941) is an individual emergency medicine provider in Saint Joseph, Missouri, licensed in Arkansas (E-4675) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316998941
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PETER T PHANCredential: DO
Location Address5325 FARAON STSaint Joseph, MO 64506-3488
Mailing Address12814 Ne 115th TerKearney, MO 64060-9121 · (816) 419-0146
Phone(816) 271-6122
Fax(816) 271-6019
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 16, 2006
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1316998941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AR · E-4675✔ Licensed in MO · 2006022551
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5325 FARAON ST, Saint Joseph, MO 64506
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company.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

Dr. Peter T Phan 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 ID6608871272
PECOS Enrollment IDI20070711000398
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
279 services220 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
253 services247 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
220 services212 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
44 services41 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

Mosaic Medical Center Albany

Critical Access Hospitals · Albany, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261328
Location705 N College StreetAlbany, MO 64402 · Gentry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64506 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

98.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost94.69

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. ALAN ANDERSON D.O.
Psychiatry & Neurology (Psychiatry)
5325 FARAON ST
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-7273
DR. ANDRE JOEL ARSENAULT M.D
Internal Medicine
5325 FARAON ST
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-6406
KEVIN BAER APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5325 FARAON ST
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-7273
DANIEL SHASHY MASIN
Emergency Medicine
5325 FARAON ST
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-6122
ALLISON MAE SMITH APRN
Nurse Practitioner (Acute Care)
5325 FARAON ST
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-6406
BRADLEY R DYER M.D.
Hospitalist
5325 FARAON ST, MS 1020 DIVISION OF GENERAL AND GERIATRIC MEDICINE UNIV
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-6406
JANE MARIE JONES D.O.
Anesthesiology
5325 FARAON ST
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-6350
JORDAN HUMMEL
Nurse Practitioner (Family)
5325 FARAON ST
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-6122

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 Peter Phan's NPI number?

The NPI number for Peter Phan is 1316998941. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Peter Phan located?

Peter Phan practices at 5325 Faraon St, Saint Joseph, MO 64506. The listed phone number is (816) 271-6122.

What is Peter Phan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Peter Phan enrolled in Medicare?

Yes. Peter Phan 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 Peter Phan accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica and Oscar Insurance Company list Peter Phan 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 Peter Phan affiliated with any hospitals?

According to CMS data, Peter Phan is affiliated with Mosaic Life Care At St Joseph, Centerpoint Medical Center and Mosaic Medical Center Albany.

When was this NPI record last updated?

The NPPES record for Peter Phan was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.