DR. ATHENA NGA PHAN MD
NPI 1386793925
Dermatology in Montgomery, AL

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
202 MITYLENE PARK DR, MONTGOMERY, AL 36117(205) 801-8378(334) 273-7837 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2024, Dec 5, 2022, Aug 13, 2018 (3 updates tracked since 2018).

About Dr. Athena Nga Phan Md NPPES

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

DR. ATHENA NGA PHAN MD (NPI 1386793925) is an individual dermatology provider in Montgomery, Alabama, licensed in Alabama (20145) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Montgomery, and is a graduate of Howard University College Of Medicine (1986).

NPPES Registry Identity

NPI1386793925
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. ATHENA NGA PHANCredential: MD
Location Address202 MITYLENE PARK DRMontgomery, AL 36117-3548
Mailing Address202 Mitylene Park DrMontgomery, AL 36117-3548 · (334) 273-1122 · Fax (334) 273-7837
Fax(334) 273-7837
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1986
Enumeration DateJanuary 10, 2007
Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1386793925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AL · 20145
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

202 MITYLENE PARK DR, Montgomery, AL 36117

Secondary Practice Location 1

Location 1300 Taylor Rd, SUITE 100Montgomery, AL 36117-3521 · Phone (334) 273-1122

Other Identifiers 1

Other51033969AL · Blue Cross

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. Athena Nga 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 ID5294927646
PECOS Enrollment IDI20101005000013
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 24

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
10,278 services1,044 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.
2,295 services1,127 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.
1,933 services1,071 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.
1,056 services697 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
963 services494 patients
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262
This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.
278 services196 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.02
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386793925, enumerated as an "individual" on January 10, 2007.

The provider is located at 202 MITYLENE PARK DR MONTGOMERY, AL 36117 and the phone number is (205) 801-8378.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Blue Cross. Please consult your insurance carrier or call the provider to verify.