DR. PHILIP J. JR. FAGAN (M.D.) – Emergency Medicine Physician, NPI 1255335154
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,790 EMERGENCY MEDICINE in CA
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Provider Addresses for DR. PHILIP J. JR. FAGAN (M.D.)
STA, Benet Street, Technical Area, White Sands, Doña Ana County, New Mexico, 88002, United States
SANTA ANA, CA 927111466
Phone: (714) 522-2891
Fax: (714) 522-3401
Type: Mailing
2550 N HOLLYWOOD WAY STE 304
BURBANK, CA 915055028
Phone: (747) 283-1809
Type: Mailing
Newport Avenue, Cowan Heights, North Tustin, Orange County, California, 92780, United States
TUSTIN, CA 927806058
Phone: (714) 581-6470
Fax: (714) 581-6492
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $550.
Total Amount is formed as General ($550) + Research ($0) + Ownership ($0) = $550.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Inari Medical, Inc. ($190).
Total Amount
$550
General + Research + Ownership
Payments
7
Total payment records
General Amount
$550
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $190 |
| ABBVIE INC. | $173 |
| Shockwave Medical, Inc | $165 |
| Gilead Sciences, Inc. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040121001104 | I | Emergency Medicine | CA | TBD |
| I20040907000254 | I | Emergency Medicine | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 21 | 21 | $0 |
Insurance plans in this area (ZIP 92711)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| - | CA | |
| - | CA | |
| Emergency Medicine, Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | TX |
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