ANDREW BAOLONG PHAM M.D
NPI 1487918439
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Austin, TX

Q: What is Andrew Pham's NPI number?

The NPI number for Andrew Pham is 1487918439. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Q: What is Andrew Pham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Pham was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment

911 W 38TH ST STE 30, AUSTIN, TX 78705(512) 439-1000(512) 439-1000 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2026, Jun 24, 2025, Jan 18, 2023 and 5 more (8 updates tracked since 2017).

On this page

About Andrew Baolong Pham M.d NPPES

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

ANDREW BAOLONG PHAM M.D (NPI 1487918439) is an individual orthopaedic surgery of the spine provider in Austin, Texas, licensed in Texas (T3166) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1487918439

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameANDREW BAOLONG PHAMCredential: M.D

Location Address911 W 38TH ST STE 30Austin, TX 78705-1188

Mailing Address900 W 38th St Ste 300Austin, TX 78705-1130 · (512) 450-1300

Phone(512) 439-1000

Fax(512) 439-1000

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012

Enumeration DateJune 25, 2012

Last NPPES UpdateMarch 30, 20268 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1487918439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in TX · T3166

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License T3166 (TX)

911 W 38TH ST STE 30, Austin, TX 78705

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Secondary Practice Locations 4

Location 1101 Medical Pkwy Ste 120Lakeway, TX 78738-5647 · Phone (512) 439-1000

Location 24700 Seton Center Pkwy Ste 200Austin, TX 78759-4107 · Phone (512) 439-1000

Location 34215 Benner Ste 300Kyle, TX 78640-2224 · Phone (512) 439-1000

Location 42224 Walsh Tarlton Ln Ste 200Austin, TX 78746-7756 · Phone (512) 439-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Baolong Pham 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 ID5496044299

PECOS Enrollment IDI20211103003184

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 Reassignments

Medicare enrollment records show Andrew Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Austin Sports Medicine LLP

1.3 mi

Sports Medicine

900 W 38TH ST, SUITE 300
Austin, TX 78705

Reassigned Medicare billing, Texas enrollment
17 clinicians in this Medicare group

NPI 1770553653 (512) 450-1300

Ortholonestar, PLLC

145 mi

Orthopaedic Surgery

7401 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
327 clinicians in this Medicare group

NPI 1942860176 (713) 799-2300

Centers For Advanced Orthopaedics, LLC

1,290 mi

Orthopaedic Surgery

8525 ROLLING ROAD, SUITE 300
Manassas, VA 20110

Reassigned Medicare billing, District of Columbia enrollment
374 clinicians in this Medicare group

NPI 1265871958 (703) 393-1667

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

Areas of Expertise CMS Part B claims 13

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

454 services69 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

299 services61 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

147 services45 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.

139 services103 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.

133 services107 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

121 services26 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

117 services99 patients

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.

83 services83 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

60 services58 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

31 services29 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

19 services13 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

19 services11 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St David's Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450431

Location919 E 32nd StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

The Hospital At Westlake Medical Center

Acute Care Hospitals · Austin, TX

OwnershipPhysician

CMS Certification Number670006

Location5656 Bee Caves Road, Suite M-302Austin, TX 78746 · Travis County

Emergency services

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670056

Location6001 Kyle PkwyKyle, TX 78640 · Hays County

Emergency services Birthing friendly

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 Andrew Pham's NPI number?

The NPI number for Andrew Pham is 1487918439. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Andrew Pham located?

Andrew Pham practices at 911 W 38th St Ste 30, Austin, TX 78705. The listed phone number is (512) 439-1000.

What is Andrew Pham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Andrew Pham enrolled in Medicare?

Yes. Andrew Pham 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.

Which organizations bill Medicare for Andrew Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Pham reassigns Medicare benefits to 3 organizations: Austin Sports Medicine LLP (Austin, TX), Ortholonestar, PLLC (Houston, TX) and Centers For Advanced Orthopaedics, LLC (Manassas, VA). Each 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 Andrew Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Pham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Andrew Pham 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 Andrew Pham affiliated with any hospitals?

According to CMS data, Andrew Pham is affiliated with St David's Medical Center, The Hospital At Westlake Medical Center and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Andrew Pham was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.