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PETER-TRUNG DUC PHAN M.D.
NPI 1356640601
Internal Medicine in Birmingham, AL

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
700 19TH ST S, BIRMINGHAM, AL 35233(205) 933-8101 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter-trung Duc Phan M.d. NPPES

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

PETER-TRUNG DUC PHAN M.D. (NPI 1356640601) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (33401) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2011).

NPPES Registry Identity

NPI1356640601
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePETER-TRUNG DUC PHANCredential: M.D.
Location Address700 19TH ST SBirmingham, AL 35233-1927
Mailing Address1849 Lake Ridge RdBirmingham, AL 35216-1619
Phone(205) 933-8101
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2011
Enumeration DateMarch 24, 2011
Last NPPES UpdateJuly 7, 2016
✔ NPI 1356640601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 33401
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
700 19TH ST S, Birmingham, AL 35233
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Other Names 1

Other Name (5)Peter Phan M.d.

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

Peter-trung Duc Phan 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 ID7517199573
PECOS Enrollment IDI20181109000363
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.
91 services51 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.
46 services18 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.
24 services14 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.
18 services18 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

KISHA CAROL DAVIS LPN
Licensed Practical Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MARY JANE MOORE CRNP
Nurse Practitioner (Family)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MS. JENESIS C. SAFFORD DPT
Physical Therapist
700 19TH ST S, ROOM 8307
BIRMINGHAM, AL 35233
Jefferson County (205) 933-4390
MS. JACQUELINE MARIE CLARK RN
Registered Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MELISSA EVANS
Social Worker (Clinical)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 369-0865
MR. JONATHAN PAUL WAGER R.T. (R)(CT)(MR)(BD)
Radiology (Diagnostic Radiology)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (541) 733-2411
TIFFANY ADAMS MCGEE
Registered Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
NAOMIE LOUIS-JEUNE
Registered Nurse (General Practice)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101

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-trung Phan's NPI number?

The NPI number for Peter-trung Phan is 1356640601. It was assigned to this individual provider in the NPPES registry on March 24, 2011. The provider is also known as Peter Phan M.D..

Where is Peter-trung Phan located?

Peter-trung Phan practices at 700 19th St S, Birmingham, AL 35233. The listed phone number is (205) 933-8101.

What is Peter-trung Phan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peter-trung Phan enrolled in Medicare?

Yes. Peter-trung 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.

Is Peter-trung Phan affiliated with any hospitals?

According to CMS data, Peter-trung Phan is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Peter-trung Phan was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.