DR. MEREDITH GAVIN PHAM (MD) – Dermatology Physician, NPI 1477176246
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for DR. MEREDITH GAVIN PHAM (MD)
3400 DATA DR
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
632 W GIBSON RD
WOODLAND, CA 956955169
Phone: (530) 668-2600
Fax: (530) 669-3638
Type: Location
3601 4TH ST STOP 9410
LUBBOCK, TX 794309410
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 147 Open Payments records for all available years, with a total value of $6,368.
Total Amount is formed as General ($6,368) + Research ($0) + Ownership ($0) = $6,368.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($723).
Total Amount
$6,368
General + Research + Ownership
Payments
147
Total payment records
General Amount
$6,368
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-25
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 |
|---|---|---|---|---|
| I20240827001531 | I | Dermatology | TX | TBD |
| I20250925000001 | I | Dermatology | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95670)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Interventional Radiology | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Advanced Heart Failure And Transplant Cardiology | CA |
Reviews
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