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HIEP C PHAN MD
NPI 1386685378
Surgery in Lancaster, PA

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
90.99/100
CMS Quality Rating
2119 MARIETTA AVE, SUITE 1, LANCASTER, PA 17603(717) 735-9222(717) 735-3755 Get Directions Write a Review

NPPES record last updated: February 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2021, Jul 3, 2017 (2 updates tracked since 2017).

About Hiep C Phan Md NPPES

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

HIEP C PHAN MD (NPI 1386685378) is an individual surgery provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD418957) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Temple University School Of Medicine (1996).

NPPES Registry Identity

NPI1386685378
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameHIEP C PHANCredential: MD
Location Address2119 MARIETTA AVE, SUITE 1Lancaster, PA 17603-2207
Mailing Address409 South Second Street, Suite 2fHarrisburg, PA 17104-1612
Phone(717) 735-9222
Fax(717) 735-3755
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1996
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 6, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2021
✔ NPI 1386685378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD418957
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.
2119 MARIETTA AVE, Lancaster, PA 17603
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Other Identifiers 1

Medicaid100815879PA

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

Hiep C 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 ID8628977394
PECOS Enrollment IDI20040102000289
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 11

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.
56 services56 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.
43 services29 patients
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.
28 services27 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
28 services28 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.
21 services17 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.
21 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

90.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.95
Promoting Interoperability100
Improvement Activities40
Cost77.03

Other Providers at the Same Location NPPES

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

GSP GENERAL SURGERY PRACTICE PC
Surgery
2119 MARIETTA AVE, SUITE 1
LANCASTER, PA 17603
Lancaster County (717) 735-9222

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 Hiep Phan's NPI number?

The NPI number for Hiep Phan is 1386685378. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Hiep Phan located?

Hiep Phan practices at 2119 Marietta Ave Suite 1, Lancaster, PA 17603. The listed phone number is (717) 735-9222.

What is Hiep Phan's specialty?

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

Is Hiep Phan enrolled in Medicare?

Yes. Hiep 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 Hiep Phan affiliated with any hospitals?

According to CMS data, Hiep Phan is affiliated with Upmc Pinnacle Hospitals, Upmc Lititz and Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Hiep Phan was last updated on February 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.