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LY T PHAN MD
NPI 1356430870
Surgery in Columbia, MO

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
1601 E BROADWAY, STE 240, COLUMBIA, MO 65201(573) 815-8145(573) 815-3832 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ly T Phan Md NPPES

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

LY T PHAN MD (NPI 1356430870) is an individual surgery provider in Columbia, Missouri, licensed in Missouri (2005030724) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Cameron Regional Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1356430870
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLY T PHANCredential: MD
Location Address1601 E BROADWAY, STE 240Columbia, MO 65201-8020
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (573) 815-8145 · Fax (573) 815-3832
Phone(573) 815-8145
Fax(573) 815-3832
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 11, 2017
✔ NPI 1356430870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 2005030724
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1601 E BROADWAY, Columbia, MO 65201
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Other Identifiers 2

Medicaid207505603MO
Medicare UPINA73809

Accepted Insurance

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

Ly T Phan 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 ID547288565
PECOS Enrollment IDI20051109000014
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 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.
26 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services12 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
15 services15 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
15 services15 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Cameron Regional Medical Center

Acute Care Hospitals · Cameron, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260057
Location1600 E EvergreenCameron, MO 64429 · Clinton County
Emergency services

Harrison County Community Hospital

Critical Access Hospitals · Bethany, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261312
Location2600 Miller StreetBethany, MO 64424 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

RACHEL ELIZABETH BEANLAND
Physical Therapist
1601 E BROADWAY
COLUMBIA, MO 65201
Boone County (537) 815-8000
DR. CHRIS JOHN MARTIN M.D.
Specialist
1601 E BROADWAY, #200
COLUMBIA, MO 65201
Boone County (573) 441-2330
ANNE E. PETERSEN M.D.
Surgery
1601 E BROADWAY, STE 240
COLUMBIA, MO 65201
Boone County (573) 815-8145
DR. DAVID W MORETON M.D.
Obstetrics & Gynecology
1601 E BROADWAY, SUITE 350
COLUMBIA, MO 65201
Boone County (573) 443-8796
DR. MARY KATHERINE WELCH M.D.
Obstetrics & Gynecology
1601 E BROADWAY, STE 330
COLUMBIA, MO 65201
Boone County (573) 443-8796
MR. JONATHAN DANIEL BARNES AGPCNP-BC
Nurse Practitioner
1601 E BROADWAY, BROADWAY MEDICAL PLAZA 1 SUITE 240
COLUMBIA, MO 65201
Boone County (573) 815-7119
ANDREW FREDERICK WILLIAMS MD
Obstetrics & Gynecology
1601 E BROADWAY, SUITE 100
COLUMBIA, MO 65201
Boone County (573) 443-8796
DR. LEVI W TRAMMELL M.D.
Obstetrics & Gynecology
1601 E BROADWAY, SUITE 100
COLUMBIA, MO 65201
Boone County (573) 443-8796

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 Ly Phan's NPI number?

The NPI number for Ly Phan is 1356430870. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Ly Phan located?

Ly Phan practices at 1601 E Broadway Ste 240, Columbia, MO 65201. The listed phone number is (573) 815-8145.

What is Ly Phan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ly Phan enrolled in Medicare?

Yes. Ly 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 Ly Phan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Ly 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 Ly Phan affiliated with any hospitals?

According to CMS data, Ly Phan is affiliated with Cameron Regional Medical Center and Harrison County Community Hospital.

When was this NPI record last updated?

The NPPES record for Ly Phan was last updated on April 11, 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.