PHUONG - THI NGOC TRAN (D.O.) – Family Medicine Physician, NPI 1164422267
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for PHUONG - THI NGOC TRAN (D.O.)
110, Woodland Street, Winter Garden, Orange County, Florida, 34787, United States
WINTER GARDEN, FL 347873546
Phone: (407) 905-8827
Fax: (352) 360-2389
Type: Mailing
779 KRISTINE WAY
THE VILLAGES, FL 321630099
Phone: (844) 884-9355
Fax: (352) 674-6030
Type: Location
225, North 1st Street, Leesburg, Lake County, Florida, 34748, United States
LEESBURG, FL 347485150
Phone: (407) 905-8827
Fax: (352) 360-2389
Type: Location
1020 LAKE SUMTER LNDG
THE VILLAGES, FL 321622699
Phone: (352) 674-8905
Fax: (352) 674-8901
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,736.
Total Amount is formed as General ($1,736) + Research ($0) + Ownership ($0) = $1,736.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Becton, Dickinson and Company ($1,715).
Total Amount
$1,736
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,736
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $1,715 |
| Novo Nordisk Inc | $21 |
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: 2004-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040928000181 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | 17 | $0 |
| G0009 | Administration of pneumococcal vaccine | 17 | 17 | $0 |
Insurance plans in this area (ZIP 34787)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IL | |
| Family Practice | IL | |
| Internal Medicine | IL | |
| - | FL | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | NJ | |
| Qualified Audiologist | FL |
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