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VIVY NHATTHAO PHAN MD
NPI 1396323473
Surgery in Temple, TX

Active since March 31, 2021PECOS Enrolled
2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vivy Nhatthao Phan Md NPPES

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

VIVY NHATTHAO PHAN MD (NPI 1396323473) is an individual surgery provider in Temple, Texas, licensed in Texas (U5487) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396323473
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameVIVY NHATTHAO PHANCredential: MD
Location Address2401 S 31ST STTemple, TX 76508-0001
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Phone(254) 724-2111
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1396323473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · U5487
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.
2401 S 31ST ST, Temple, TX 76508
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivy Nhatthao Phan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Vivy Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scott & White Clinic
0.3 mi
Internal Medicine
2401 S 31ST ST
Temple, TX 76508
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 clinicians in this Medicare group
NPI 1093779704 (254) 724-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76508 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

DR. TIFFANY JONES BERRY MD
Family Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Bell County (254) 724-6927
CHRISTINA ESMAT KARIMI P.A
Physician Assistant
2401 S 31ST ST
TEMPLE, TX 76508
Bell County (254) 724-2111
MRS. JESSICA R. LEHMAN P. T.
Physical Therapist
2401 S 31ST ST
TEMPLE, TX 76508
Bell County (254) 724-2111
DR. JOHN DAVID R. SENO MD
Physical Medicine & Rehabilitation
2401 S 31ST ST
TEMPLE, TX 76508
Bell County (254) 724-2111
BARRY RAY CHAMBERLIN MD
Radiology (Diagnostic Radiology)
2401 S 31ST ST
TEMPLE, TX 76508
Bell County (254) 724-2111
KAMIA ROCHELLE SCROGGINS FASHEUN FNP
Nurse Practitioner
2401 S 31ST ST
TEMPLE, TX 76508
Bell County (254) 724-2111
SAMANTHA RUFARO MAKINA
Nurse Practitioner (Acute Care)
2401 S 31ST ST
TEMPLE, TX 76508
Bell County (254) 724-2111
BRANDON ROBERT MAY
Psychiatry & Neurology (Vascular Neurology)
2401 S 31ST ST
TEMPLE, TX 76508
Bell County (254) 724-2111

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 Vivy Phan's NPI number?

The NPI number for Vivy Phan is 1396323473. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Vivy Phan located?

Vivy Phan practices at 2401 S 31st St, Temple, TX 76508. The listed phone number is (254) 724-2111.

What is Vivy Phan's specialty?

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

Is Vivy Phan enrolled in Medicare?

Yes. Vivy Phan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vivy Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivy Phan reassigns Medicare benefits to Scott & White Clinic (Temple, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivy Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivy Phan accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Vivy Phan 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 Vivy Phan was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.