DR. TONY PHAM D.O.
NPI 1881661775
Family Medicine in Seattle, WA

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
510 6TH AVE S, SUITE 101, SEATTLE, WA 98104(206) 682-7059(206) 682-7060 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tony Pham D.o. NPPES

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

DR. TONY PHAM D.O. (NPI 1881661775) is an individual family medicine provider in Seattle, Washington, licensed in Washington (OP60001377) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1999).

NPPES Registry Identity

NPI1881661775
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TONY PHAMCredential: D.O.
Location Address510 6TH AVE S, SUITE 101Seattle, WA 98104-3877
Mailing Address510 6th Ave S, Suite 101Seattle, WA 98104-3877 · (206) 682-7059 · Fax (206) 682-7060
Fax(206) 682-7060
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1999
Enumeration DateMarch 1, 2006
Last NPPES UpdateApril 18, 2017
✔ NPI 1881661775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP60001377
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.
510 6TH AVE S, Seattle, WA 98104

Other Identifiers 4

Medicare PIN1265750830WA
Other0266069WA · Lni
Other002276489WA · United Healthcare
Medicaid2008760WA

Accepted 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

Dr. Tony Pham D.o. 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 ID8527022243
PECOS Enrollment IDI20080826000761
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 Tony Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
510 6TH AVE S, 101
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
Clinic/Center
24261 N US HIGHWAY 101
Hoodsport, WA 98548
  • Reassigned Medicare billing, Washington enrollment
  • 154 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 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
510 6TH AVE S, 101
SEATTLE, WA 98104

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 Tony Pham's NPI number?

The NPI number for Tony Pham is 1881661775. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Tony Pham located?

Tony Pham practices at 510 6th Ave S Suite 101, Seattle, WA 98104. The listed phone number is (206) 682-7059.

What is Tony Pham's specialty?

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

Is Tony Pham enrolled in Medicare?

Yes. Tony 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 Tony Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Pham reassigns Medicare benefits to 2 organizations: St. Paul Medical Clinic, P.S. (Seattle, WA) and Public Hospital District No 1 Of Mason County (Hoodsport, WA). 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 Tony Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Pham accept?

Health plans from Ambetter Health and Providence Health Plan list Tony 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 Tony Pham was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.