DR. THOMAS S PHAM MD
NPI 1790776995
Dermatology in Cape Coral, FL

Active since November 04, 2005PECOS Enrolled
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909(239) 652-1800(248) 655-0372 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas S Pham Md NPPES

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

DR. THOMAS S PHAM MD (NPI 1790776995) is an individual dermatology provider in Cape Coral, Florida, licensed in Florida (ME118627) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790776995
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. THOMAS S PHAMCredential: MD
Location Address2489 DIPLOMAT PKWY ECape Coral, FL 33909-5422
Mailing Address2489 Diplomat Pkwy ECape Coral, FL 33909-5422 · (239) 652-1800 · Fax (248) 655-0372
Fax(248) 655-0372
Sole ProprietorYes
Enumeration DateNovember 4, 2005
Last NPPES UpdateJune 22, 2015
✔ NPI 1790776995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in FL · ME118627✔ Licensed in MI · 4301069802
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2489 DIPLOMAT PKWY E, Cape Coral, FL 33909

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas S Pham 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
900 VILLAGE SQUARE XING STE 210
Palm Beach Gardens, FL 33410
  • Reassigned Medicare billing, Florida enrollment
  • 159 clinicians in this Medicare group
Dermatology
600 VILLAGE SQUARE CROSSING
Palm Beach Gardens, FL 33410
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Waters Edge Dermatology LLC
  • 59 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33909 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Dermatology
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909
Respiratory Therapist, Registered
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909
Optometrist
2489 DIPLOMAT PKWY E, 2C - EYE CLINIC
CAPE CORAL, FL 33909
Psychologist (Clinical)
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909
Psychologist (Clinical)
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909
Dental Assistant
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909
Podiatrist
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909

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 Thomas Pham's NPI number?

The NPI number for Thomas Pham is 1790776995. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Thomas Pham located?

Thomas Pham practices at 2489 Diplomat Pkwy E, Cape Coral, FL 33909. The listed phone number is (239) 652-1800.

What is Thomas Pham's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Thomas Pham enrolled in Medicare?

Yes. Thomas Pham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Pham reassigns Medicare benefits to 2 organizations: Aqua Dermatology Of Florida, PA (Palm Beach Gardens, FL) and Water's Edge Dermatology, LLC (Palm Beach Gardens, FL). 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 Thomas Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Pham accept?

Health plans from Oscar Health Maintenance Organization of Florida list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Pham was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.