MR. ANH TUAN PHAM O.D
NPI 1609325711
Optometrist in Springfield, MO

Q: What is Anh Pham's NPI number?

The NPI number for Anh Pham is 1609325711. It was assigned to this individual provider in the NPPES registry on September 30, 2016. The provider is also known as Dr. Anh Tuan Pham O.D.

Q: What is Anh Pham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Anh Pham was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 30, 2016PECOS EnrolledAccepts Medicare Assignment

3231 S NATIONAL AVE STE 165, SPRINGFIELD, MO 65807(417) 820-9393(417) 730-3102 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2026, Nov 2, 2021, Sep 30, 2016 (3 updates tracked since 2016).

On this page

About Mr. Anh Tuan Pham O.d NPPES

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

MR. ANH TUAN PHAM O.D (NPI 1609325711) is an individual optometrist in Springfield, Missouri, licensed in Missouri (2024000245) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609325711

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMR. ANH TUAN PHAMCredential: O.D

Location Address3231 S NATIONAL AVE STE 165Springfield, MO 65807-7304

Mailing Address3231 S National Ave Ste 165Springfield, MO 65807-7304 · (417) 603-1179 · Fax (417) 377-2391

Phone(417) 820-9393

Fax(417) 730-3102

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 30, 2016

Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1609325711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · 2024000245

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

3231 S NATIONAL AVE STE 165, Springfield, MO 65807

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Other Names 1

Professional Name (2)Dr. Anh Tuan Pham O.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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

Mr. Anh Tuan Pham O.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 ID5193086106

PECOS Enrollment IDI20240213003125

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 Anh Pham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heady & Pham Advanced Eyecare LLC

Same address

Optometrist

3231 S NATIONAL AVE STE 165
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
2 clinicians in this Medicare group

NPI 1558216424 (314) 808-8450

Mercy Clinic Springfield Communities

Same address

Family Medicine

3231 S NATIONAL AVE STE 220
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
1,487 clinicians in this Medicare group

NPI 1245277631 (855) 420-7900

Us Health Dept Of Health & Human Services

899 mi

Public Health, Federal

14 GREAT PLAINS ROAD
Arapahoe, WY 82501

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: U S Health Dept Of Health & Human Services
306 clinicians in this Medicare group

NPI 1104976372 (307) 856-9281

Clinicas Del Camino Real, Inc

1,439 mi

Federally Qualified Health Center (FQHC)

4370 EVE RD
Simi Valley, CA 93063

Reassigned Medicare billing, California enrollment
216 clinicians in this Medicare group

NPI 1609291996 (805) 915-4400

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.

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.

109 services67 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.

91 services91 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.

63 services49 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

42 services39 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

36 services28 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

29 services14 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

29 services29 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

28 services24 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

17 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services15 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 2

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

DR. RYAN JEFFREY HEADY O.D.

Optometrist

3231 S NATIONAL AVE STE 165
SPRINGFIELD, MO 65807

Greene County (417) 820-9393

HEADY & PHAM ADVANCED EYECARE LLC

Optometrist

3231 S NATIONAL AVE STE 165
SPRINGFIELD, MO 65807

Greene County (314) 808-8450

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 Anh Pham's NPI number?

The NPI number for Anh Pham is 1609325711. It was assigned to this individual provider in the NPPES registry on September 30, 2016. The provider is also known as Dr. Anh Tuan Pham O.D.

Where is Anh Pham located?

Anh Pham practices at 3231 S National Ave Ste 165, Springfield, MO 65807. The listed phone number is (417) 820-9393.

What is Anh Pham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Anh Pham enrolled in Medicare?

Yes. Anh 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 Anh Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anh Pham reassigns Medicare benefits to 4 organizations: Heady & Pham Advanced Eyecare LLC (Springfield, MO), Mercy Clinic Springfield Communities (Springfield, MO), Us Health Dept Of Health & Human Services (Arapahoe, WY) and Clinicas Del Camino Real, Inc (Simi Valley, CA). 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 Anh Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anh Pham accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 9 other insurers list Anh 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 Anh Pham affiliated with any hospitals?

According to CMS data, Anh Pham is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Anh Pham was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.