DR. PETER PHAN (M.D.) – Surgery Physician, NPI 1851564462

DR. PETER PHAN (M.D.) is a healthcare provider. based in Littleton, Colorado. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 0438080 (KS). The NPI Number for DR. PETER PHAN (M.D.) is 1851564462

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER PHAN (M.D.)
NPI
1851564462
Phone
(303) 795-3375
Address
7780 S BROADWAY
Enumeration Date
4 April 2008
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6206492771
Graduation Year
2005 (21 years ago)
PAC ID
3971795261
Group Practice PAC ID
5991616054
Professional Enrollment ID
I20240603000635
Address ID
KS678708748SA410XXCHEY200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

756 GENERAL SURGERY in CO

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Provider Addresses for DR. PETER PHAN (M.D.)

  • 7780, South Broadway, Littleton, Arapahoe County, Colorado, 80122, United States

    SUITE 250

    LITTLETON, CO 801222648

    Phone: (303) 795-3375

    Fax: (303) 795-0621

    Type: Mailing

  • 305 W 15TH ST STE 204

    LIBERAL, KS 679012455

    Phone: (620) 624-4946

    Fax: (620) 624-2260

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $813.

Total Amount is formed as General ($813) + Research ($0) + Ownership ($0) = $813.

Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Medtronic, Inc. ($813).

Total Amount

$813

General + Research + Ownership

Payments

1

Total payment records

General Amount

$813

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$813
View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240603000635IGeneral SurgeryKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making4343$0
View full utilization report →

Insurance plans in this area (ZIP 80122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991616054View full group profile
NameSpecialtyState
-KS
Nurse PractitionerKS
Family PracticeOR
Nurse PractitionerKS
General SurgeryNC
Nurse PractitionerKS
Family PracticeCA
Family PracticeCO
Physician AssistantKS
Physician AssistantKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PETER PHAN (M.D.)?
DR. PETER PHAN (M.D.) — NPI 1851564462 — is the standard way to identify this listing.
Can I rely on DR. PETER PHAN (M.D.) being an active provider?
As of the registry snapshot, DR. PETER PHAN (M.D.) is marked active.
What taxonomy line describes DR. PETER PHAN (M.D.)?
For research purposes, treat DR. PETER PHAN (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. PETER PHAN (M.D.) serve?
DR. PETER PHAN (M.D.)'s listing highlights Littleton, Colorado; more addresses can appear in NPPES.
Is the information about DR. PETER PHAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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