MR. HA LE PHAM PA-C
NPI 1366777575
Physician Assistant in Prescott, AZ

Active since October 05, 2009PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
830 AINSWORTH DR, PRESCOTT, AZ 86301(928) 777-5800(928) 776-0405 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Oct 25, 2023, Jan 13, 2023 and 4 more (7 updates tracked since 2016).

About Mr. Ha Le Pham Pa-c NPPES

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

MR. HA LE PHAM PA-C (NPI 1366777575) is an individual physician assistant in Prescott, Arizona, licensed in Arizona (4442) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366777575
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. HA LE PHAMCredential: PA-C
Location Address830 AINSWORTH DRPrescott, AZ 86301-1630
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(928) 776-0405
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 5, 2009
Last NPPES UpdateAugust 12, 20257 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1366777575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 4442
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
830 AINSWORTH DR, Prescott, AZ 86301

Secondary Practice Locations 6

Location 12135 E ROCKWOOD DRPHOENIX, AZ 85024-3064 · Phone (602) 222-9111 · Fax (602) 222-9333
Location 2820 Ainsworth Dr Ste BPrescott, AZ 86301-1613 · Phone (928) 777-5810 · Fax (928) 776-0405
Location 32820 N Glassford Hill Rd Ste 107Prescott Valley, AZ 86314-2256 · Phone (928) 772-8553 · Fax (928) 776-0405
Location 4203 S Candy Ln # 14Cottonwood, AZ 86326-4120 · Phone (928) 639-3387 · Fax (928) 776-0405
Location 52820 N Glassford Hill Rd Ste 103Prescott Valley, AZ 86314-2256 · Phone (928) 772-8553 · Fax (928) 776-0405
Location 6820 Ainsworth Dr Ste APrescott, AZ 86301-1613 · Phone (928) 777-5800 · Fax (928) 776-0405

Other Identifiers 2

Other9821394AZ · Aetna
Medicaid541347AZ

Accepted 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

Mr. Ha Le Pham Pa-c 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 ID1254478134
PECOS Enrollment IDI20091026000489
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 28

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,588 services695 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.
1,356 services1,011 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,155 services886 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
717 services638 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
594 services512 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
487 services414 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301

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 Ha Pham's NPI number?

The NPI number for Ha Pham is 1366777575. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Ha Pham located?

Ha Pham practices at 830 Ainsworth Dr, Prescott, AZ 86301. The listed phone number is (928) 777-5800.

What is Ha Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ha Pham enrolled in Medicare?

Yes. Ha 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.

What insurance does Ha Pham accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Ha Pham 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 Ha Pham was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.