JOHN THOMAS PHELAN II M.D.
NPI 1467408609
Internal Medicine - Hematology & Oncology in Albany, NY

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
97.46/100
CMS Quality Rating
400 PATROON CREEK BLVD, SUITE 1, ALBANY, NY 12206(518) 489-0044(518) 489-3591 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Thomas Phelan Ii M.d. NPPES

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

JOHN THOMAS PHELAN II M.D. (NPI 1467408609) is an individual hematology & oncology provider in Albany, New York, licensed in New York (214115) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Wisconsin College Of Physicians And Surgeons (1991).

NPPES Registry Identity

NPI1467408609
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJOHN THOMAS PHELAN IICredential: M.D.
Location Address400 PATROON CREEK BLVD, SUITE 1Albany, NY 12206-5013
Mailing Address400 Patroon Creek Blvd, Suite 1Albany, NY 12206-5013 · (518) 489-0044 · Fax (518) 489-3591
Fax(518) 489-3591
Sole ProprietorYes
Medical School CMSWisconsin College Of Physicians And SurgeonsGraduated 1991
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 20, 2019
NPI 1467408609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 214115
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
400 PATROON CREEK BLVD, Albany, NY 12206

Other Identifiers 2

OtherP01125937NY · Railroad Medicare
Medicaid01945188NY

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

John Thomas Phelan Ii 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 ID4981747086
PECOS Enrollment IDI20100211000032
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 58

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, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
26,520 services22 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
12,600 services17 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,000 services12 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,051 services413 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
926 services411 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
860 services401 patients

Hospital Affiliations CMS Care Compare 3

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12206 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

97.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.48
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Oncology: Medical and Radiation - Pain Intensity Quantified
98%562 patients4/55-star benchmark: 100%
Oncology: Supportive Care Drug Utilization in Last 14 Days of Life
Lower rates are better for this measure.
3%34 patients
Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score better)
Lower rates are better for this measure.
3%34 patients
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
97%1,559 patients5/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
66%692 patients2/55-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.

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.

Psychiatry & Neurology (Neurology)
400 PATROON CREEK BLVD, SUITE 210
ALBANY, NY 12206
Internal Medicine (Hematology & Oncology)
400 PATROON CREEK BLVD, SUITE 1
ALBANY, NY 12206
Nurse Practitioner (Adult Health)
400 PATROON CREEK BLVD, SUITE 100
ALBANY, NY 12206
Physician Assistant
400 PATROON CREEK BLVD, SUITE 1
ALBANY, NY 12206
Pharmacist (Oncology)
400 PATROON CREEK BLVD, SUITE 1
ALBANY, NY 12206
Pharmacist
400 PATROON CREEK BLVD, SUITE 200
ALBANY, NY 12206
Physical Therapist
400 PATROON CREEK BLVD, SUITE 107
ALBANY, NY 12206
Clinical Medical Laboratory
400 PATROON CREEK BLVD, SUITE 101
ALBANY, NY 12206

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 John Phelan's NPI number?

The NPI number for John Phelan is 1467408609. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is John Phelan located?

John Phelan practices at 400 Patroon Creek Blvd Suite 1, Albany, NY 12206. The listed phone number is (518) 489-0044.

What is John Phelan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is John Phelan enrolled in Medicare?

Yes. John Phelan 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 John Phelan affiliated with any hospitals?

According to CMS data, John Phelan is affiliated with Albany Medical Center Hospital, St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for John Phelan was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.