LAM DUY TRAN D.O.
NPI 1750887626
Emergency Medicine in Port Saint Lucie, FL
NPI Status: Active since April 01, 2018
Contact Information
1800 SE TIFFANY AVE
PORT SAINT LUCIE, FL
ZIP 34952
Phone: (772) 398-1990
- Individual
- Male
- Years of Experience 7
- Emergency Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LAM TRAN
This page provides the complete NPI Profile along with additional information for Lam Tran, a provider established in Port Saint Lucie, Florida with a medical specialization in Emergency Medicine and more than 7 years of experience. He graduated from Philadelphia Col Of Osteo Med, Sewanee in 2019. The healthcare provider is registered in the NPI registry with number 1750887626 assigned on April 2018. The practitioner's primary taxonomy code is 207P00000X with license number OS18477 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1750887626
- Provider Name
- LAM DUY TRAN D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1800 SE TIFFANY AVE PORT SAINT LUCIE, FL 34952
- Location Phone
- (772) 398-1990
- Mailing Address
- 1800 SE TIFFANY AVE PORT SAINT LUCIE, FL 34952
- Medical School Name
- PHILADELPHIA COL OF OSTEO MED, SEWANEE
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2018
- Last Update Date
- 01-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS18477
- License State
- FL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Secure - EPO
- Secure | MercyOne - EPO
- Silver Classic - EPO
- Silver Classic | MercyOne - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | MercyOne - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | MercyOne - EPO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver | MercyOne - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lam Tran is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Lam Tran is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5395126775
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220715002367
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 56 times for 55 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 25 times for 25 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 15 times for 15 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 38 times for 34 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.92 for a new patient copayment and $25.8 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34952 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.69
- Minimum New Patient Price $58.56
- Maximum New Patient Price $179.05
- Average New Patient Copayment $22.92
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.21
- Minimum Established Patient Price $18.44
- Maximum Established Patient Price $144.68
- Average Established Patient Copayment $25.8
- Minimum Established Patient Copayment $4.61
- Maximum Established Patient Copayment $36.17
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lam Tran is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
CLEVELAND CLINIC MARTIN NORTH HOSPITAL | 200 SE HOSPITAL AVE STUART, FL 34994 | (772) 287-5200 | Acute Care Hospitals | |
HCA FLORIDA LAWNWOOD HOSPITAL | 1700 S 23RD ST FORT PIERCE, FL 34950 | (772) 468-4500 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 8 | 8 | 7 | 6 | 2 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 16 | 8 | 14 | 6 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 1 + 6 + 8 + 1 + 4 + 6 + 4 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1750887626 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MS. CAROL CARDINALE CRNA
Nurse Anesthetist, Certified Registered
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
RONALD BEATON MD
Radiology
(Diagnostic Radiology)
1800 SE TIFFANY AVE
ATTENTION RHONDA ROBERTSON RADIOLOGY DEPT
PORT ST LUCIE, FL
ZIP 34952
EMCARE PHYSICIAN PROVIDERS, INC.
Emergency Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
HILLMOOR ER SVCS PARTNERSHIP
Emergency Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
ATLANTIC COAST ANESTHESIA ASSOCIATES
Anesthesiology
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
VERNON THOMAS ATREIDIS MD
Emergency Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
YVETTE WIRTA-CLARKE DO
Emergency Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
JULIE D CRISPIN M.D.
Anesthesiology
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
DR. STEVEN M LANGER M.D.
Anesthesiology
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
JOSEPH RICHARD CARIELLO MD
Emergency Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
MICHAEL A. MELONI MD
Emergency Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
ILKA N. LANGSTON MCKINNEY MD
Emergency Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
MARIA MARTONE DO
Emergency Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
ROGER ALLAN WEBER PA
Physician Assistant
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
MR. GAVIN KEITH WILSON PA
Physician Assistant
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
MICHAEL B JARRELL M.D.
Anesthesiology
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
KATHRYN A ANDREWS ARNP
Nurse Practitioner
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
MRS. STEPHANIE A DRABIN M.D.
Anesthesiology
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
LINDA L RONK CRNA
Registered Nurse
(Medical-Surgical)
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
JILL KRISTEN BRADFORD MSED, ATC, LAT
Specialist/Technologist
(Athletic Trainer)
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750887626, enumerated as an "individual" on April 01, 2018.
The provider is located at 1800 SE TIFFANY AVE PORT SAINT LUCIE, FL 34952 and the phone number is (772) 398-1990.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Oscar Health Plan, Inc., Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.
Lam Tran is affiliated with: CLEVELAND CLINIC MARTIN NORTH HOSPITAL and HCA FLORIDA LAWNWOOD HOSPITAL.