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CECILIA DOAN PHUNG TRAN
NPI 1497259253
Family Medicine in Metairie, LA

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
2121 RIDGELAKE DR FL 3, METAIRIE, LA 70001(504) 325-2700(504) 249-5527 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 28, 2022, Mar 19, 2018 (2 updates tracked since 2018).

About Cecilia Doan Phung Tran NPPES

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

CECILIA DOAN PHUNG TRAN (NPI 1497259253) is an individual family medicine provider in Metairie, Louisiana, licensed in Louisiana (1497259253) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2018).

NPPES Registry Identity

NPI1497259253
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCECILIA DOAN PHUNG TRAN
Location Address2121 RIDGELAKE DR FL 3Metairie, LA 70001-2080
Mailing Address2121 Ridgelake Dr Fl 3Metairie, LA 70001-2080 · (504) 325-2700
Phone(504) 325-2700
Fax(504) 249-5527
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateJanuary 28, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1497259253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 1497259253
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2121 RIDGELAKE DR FL 3, Metairie, LA 70001
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Accepted Insurance

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

Cecilia Doan Phung Tran 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 ID5395091169
PECOS Enrollment IDI20210604001468
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 6

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 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.
39 services26 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.
33 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70001 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARELIS FIGUEROA BRUNO MD
Obstetrics & Gynecology
2121 RIDGELAKE DR FL 3
METAIRIE, LA 70001
Jefferson Parish (504) 325-2700
DR. ANDREW WILLIAM SUIRE M.D.
Obstetrics & Gynecology
2121 RIDGELAKE DR FL 3
METAIRIE, LA 70001
Jefferson Parish (504) 325-2700

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 Cecilia Tran's NPI number?

The NPI number for Cecilia Tran is 1497259253. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Cecilia Tran located?

Cecilia Tran practices at 2121 Ridgelake Dr Fl 3, Metairie, LA 70001. The listed phone number is (504) 325-2700.

What is Cecilia Tran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cecilia Tran enrolled in Medicare?

Yes. Cecilia Tran 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 Cecilia Tran accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Cecilia Tran 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 Cecilia Tran affiliated with any hospitals?

According to CMS data, Cecilia Tran is affiliated with West Jefferson Medical Center, Touro Infirmary and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Cecilia Tran was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.