DR. NGOC-BICH PHAN LE M.D.
NPI 1386712040
Urology in Austin, TX

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12221 N MOPAC EXPY, AUSTIN, TX 78758(512) 901-1111 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2022, Dec 29, 2021, Jun 14, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Ngoc-bich Phan Le M.d. NPPES

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

DR. NGOC-BICH PHAN LE M.D. (NPI 1386712040) is an individual urology provider in Austin, Texas, licensed in Texas (Q8097) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with St David's South Austin Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2005).

NPPES Registry Identity

NPI1386712040
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. NGOC-BICH PHAN LECredential: M.D.
Location Address12221 N MOPAC EXPYAustin, TX 78758-2401
Mailing Address12221 N Mopac ExpyAustin, TX 78758-2401 · (512) 901-1111
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2005
Enumeration DateDecember 1, 2006
Last NPPES UpdateFebruary 9, 20225 updates tracked since enumeration
NPI 1386712040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in TX · Q8097 Licensed in FL · ME 107806 Licensed in CA · A113040
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License 2012-00911 (NC)
12221 N MOPAC EXPY, Austin, TX 78758

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

Dr. Ngoc-bich Phan Le 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 ID6901920826
PECOS Enrollment IDI20160429001632
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 16

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,800 services34 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.
207 services138 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
104 services74 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
69 services48 patients
Exam with injections of chemical for destruction of bladder using an endoscope 52287
This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.
51 services36 patients
Catheterization for collection of specimen, single patient, all places of service P9612
Catheterization is a procedure where a small, flexible tube is inserted into your body to collect a specimen for testing. This is done in a safe, sterile environment and is a common method for obtaining a sample. It's typically done in a hospital or clinic.
46 services43 patients

Hospital Affiliations CMS Care Compare 2

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

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
95%449 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%252 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers20 claims1,530 services$1.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Speech-Language Pathologist
12221 N MOPAC EXPY
AUSTIN, TX 78758
Occupational Therapist (Physical Rehabilitation)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Nurse Anesthetist, Certified Registered
12221 N MOPAC EXPY
AUSTIN, TX 78758
Emergency Medicine
12221 N MOPAC EXPY
AUSTIN, TX 78758
Internal Medicine (Interventional Cardiology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Psychiatry & Neurology (Neurology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Obstetrics & Gynecology
12221 N MOPAC EXPY
AUSTIN, TX 78758

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 Ngoc-bich Le's NPI number?

The NPI number for Ngoc-bich Le is 1386712040. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Ngoc-bich Le located?

Ngoc-bich Le practices at 12221 N Mopac Expy, Austin, TX 78758. The listed phone number is (512) 901-1111.

What is Ngoc-bich Le's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ngoc-bich Le enrolled in Medicare?

Yes. Ngoc-bich Le 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 Ngoc-bich Le accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Ngoc-bich Le 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 Ngoc-bich Le affiliated with any hospitals?

According to CMS data, Ngoc-bich Le is affiliated with St David's South Austin Medical Center and North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Ngoc-bich Le was last updated on February 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.