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PHYLLIS H. PENG MD
NPI 1770633596
Otolaryngology in Modesto, CA

Active since January 12, 2007PECOS Enrolled
4601 DALE RD, MODESTO, CA 95356(209) 557-1000 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phyllis H. Peng Md NPPES

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

PHYLLIS H. PENG MD (NPI 1770633596) is an individual otolaryngology provider in Modesto, California, licensed in California (A94698) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770633596
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NamePHYLLIS H. PENGCredential: MD
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Phone(209) 557-1000
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateDecember 22, 2021
✔ NPI 1770633596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A94698
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4601 DALE RD, Modesto, CA 95356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis H. Peng Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 20

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

NATHAN STUEMPFIG D.O.
Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 715-1780
RAYVEN ZHANG
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (916) 856-2837
JAY PATEL
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-5000
BRIAN E. DOLNICK DO
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 557-1000
WEI LOONG GLENN KOH MD
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Stanislaus County (925) 200-1811
DR. JOSHUA MCKEE ANDERSON M.D.
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-7200
JOSHUA MICHAEL
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-7590
YUECHIAO LIANG PHARM.D.
Pharmacist
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-6950

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 Phyllis Peng's NPI number?

The NPI number for Phyllis Peng is 1770633596. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Phyllis Peng located?

Phyllis Peng practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 557-1000.

What is Phyllis Peng's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Phyllis Peng enrolled in Medicare?

Yes. Phyllis Peng is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phyllis Peng was last updated on December 22, 2021. 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.