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DUC THINH PHAM M.D.
NPI 1326054669
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Chicago, IL

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N. ST.CLAIR ST, 19-100, CHICAGO, IL 60611(312) 664-3278(312) 695-1903 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Duc Thinh Pham M.d. NPPES

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

DUC THINH PHAM M.D. (NPI 1326054669) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Chicago, Illinois, licensed in Illinois (036114257) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1997).

NPPES Registry Identity

NPI1326054669
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDUC THINH PHAMCredential: M.D.
Location Address675 N. ST.CLAIR ST, 19-100Chicago, IL 60611-5969
Mailing Address680 N Lake Shore Dr, Suite#1000Chicago, IL 60611-4546 · (312) 695-9797
Phone(312) 664-3278
Fax(312) 695-1903
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1997
Enumeration DateJuly 31, 2006
Last NPPES UpdateMay 8, 2017
✔ NPI 1326054669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IL · 036114257
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
675 N. ST.CLAIR ST, Chicago, IL 60611
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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

Duc Thinh Pham 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 ID4284632092
PECOS Enrollment IDI20150701001027
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
132 services132 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
92 services91 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services23 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services15 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
12 services12 patients
Replacement of aortic valve on heart-lung machine 33405
The aortic valve replacement on a heart-lung machine is a procedure where your faulty aortic valve is replaced with a new one. During this operation, a machine takes over the job of your heart and lungs, ensuring the blood supply to your body is maintained.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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 Duc Thinh Pham's NPI number?

The NPI number for Duc Thinh Pham is 1326054669. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Duc Thinh Pham located?

Duc Thinh Pham practices at 675 N. St.Clair St 19-100, Chicago, IL 60611. The listed phone number is (312) 664-3278.

What is Duc Thinh Pham's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Duc Thinh Pham enrolled in Medicare?

Yes. Duc Thinh 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.

Is Duc Thinh Pham affiliated with any hospitals?

According to CMS data, Duc Thinh Pham is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Duc Thinh Pham was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.