DR. BAO TIEN PHAM (D.O) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1467445403
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
671 PAIN MANAGEMENT in FL
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Provider Addresses for DR. BAO TIEN PHAM (D.O)
5377, Commissioners Drive, Pablo Creek Reserve, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322240830
Phone: (904) 527-3135
Fax: (904) 683-4293
Type: Mailing
6816, Southpoint Parkway, Jacksonville, Duval County, Florida, 32216, United States
SUITE 302
JACKSONVILLE, FL 322161700
Phone: (904) 527-3135
Fax: (904) 683-4293
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($120).
Total Amount
$196
General + Research + Ownership
Payments
6
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
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: 2012-11-20
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 |
|---|---|---|---|---|
| I20121120000363 | I | Pain Management | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 568 | 105 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 305 | 80 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 123 | 70 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 70 | 33 | $0 |
| 72020 | X-ray of spine, 1 view | 43 | 24 | $0 |
Insurance plans in this area (ZIP 32224)
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Provider's Procedures
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