TUAN PHAM MD
NPI 1891350492
Hospitalist in Portland, OR

Active since May 08, 2019PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
10123 SE MARKET ST, PORTLAND, OR 97216(503) 257-2500(503) 261-6790 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 3, 2022, May 8, 2019 (2 updates tracked since 2019).

About Tuan Pham Md NPPES

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

TUAN PHAM MD (NPI 1891350492) is an individual hospitalist provider in Portland, Oregon, licensed in Oregon (MD209626) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Adventist Health Portland, and is a graduate of Loma Linda University School Of Medicine (2019).

NPPES Registry Identity

NPI1891350492
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTUAN PHAMCredential: MD
Location Address10123 SE MARKET STPortland, OR 97216-2532
Mailing Address10123 Se Market StPortland, OR 97216-2532 · (503) 257-2500
Fax(503) 261-6790
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2019
Enumeration DateMay 8, 2019
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1891350492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OR · MD209626
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
10123 SE MARKET ST, Portland, OR 97216

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tuan Pham Md 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 ID648504266
PECOS Enrollment IDI20220812002558
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
205 services91 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
76 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
10123 SE MARKET ST
PORTLAND, OR 97216
Registered Nurse
10123 SE MARKET ST
PORTLAND, OR 97216
Emergency Medicine
10123 SE MARKET ST
PORTLAND, OR 97216
Hospitalist
10123 SE MARKET ST
PORTLAND, OR 97216
Nurse Anesthetist, Certified Registered
10123 SE MARKET ST
PORTLAND, OR 97216
Emergency Medicine
10123 SE MARKET ST
PORTLAND, OR 97216
Anesthesiology
10123 SE MARKET ST
PORTLAND, OR 97216
Registered Nurse
10123 SE MARKET ST
PORTLAND, OR 97216

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 Tuan Pham's NPI number?

The NPI number for Tuan Pham is 1891350492. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Tuan Pham located?

Tuan Pham practices at 10123 SE Market St, Portland, OR 97216. The listed phone number is (503) 257-2500.

What is Tuan Pham's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Tuan Pham enrolled in Medicare?

Yes. Tuan 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.

What insurance does Tuan Pham accept?

Health plans from PacificSource Health Plans list Tuan 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 Tuan Pham affiliated with any hospitals?

According to CMS data, Tuan Pham is affiliated with Adventist Health Portland.

When was this NPI record last updated?

The NPPES record for Tuan Pham was last updated on August 3, 2022. 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.