DR. JIM THONG TRAN (MD) – Family Medicine Physician, NPI 1902880198

DR. JIM THONG TRAN (MD) is a healthcare provider. based in Fleming island, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0101-052994 (VA). The NPI Number for DR. JIM THONG TRAN (MD) is 1902880198

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JIM THONG TRAN (MD)
NPI
1902880198
Phone
(904) 264-4405
Address
1747 BAPTIST CLAY DR STE 340
Enumeration Date
1 December 2005
Last Update Date
1 October 2019

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
9042644405
Graduation Year
1993 (33 years ago)
PAC ID
1456572429
Group Practice PAC ID
0648177733
Professional Enrollment ID
I20191015003690
Address ID
FL320038501FL1747XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. JIM THONG TRAN (MD)

  • 1747 BAPTIST CLAY DR STE 340

    FLEMING ISLAND, FL 320038503

    Phone: (904) 264-4405

    Fax: (904) 391-5380

    Type: Location

  • PO BOX 45443

    SALT LAKE CITY, UT 841450443

    Phone: (904) 202-1032

    Fax: (904) 376-4107

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $2,288.

Total Amount is formed as General ($2,288) + Research ($0) + Ownership ($0) = $2,288.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($292).

Total Amount

$2,288

General + Research + Ownership

Payments

118

Total payment records

General Amount

$2,288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-10-15

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
I20191015003690IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes590275$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit178178$0
99213Established patient office or other outpatient visit, 20-29 minutes3432$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment1313$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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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: 0648177733View full group profile
NameSpecialtyState
Family PracticeFL
H O S P I T A L I S TUT
-UT
Hospitalist, Internal MedicineVA
Internal MedicineGA
Family PracticeUT
Hospitalist, Internal MedicineFL
H O S P I T A L I S TUT
R H E U M A T O L O G YUT
Hospitalist, Internal MedicineFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JIM THONG TRAN (MD)?
NPI 1902880198 is assigned to DR. JIM THONG TRAN (MD) under the national enumeration system.
Is DR. JIM THONG TRAN (MD) currently active in the NPI registry?
CMS-published data lists DR. JIM THONG TRAN (MD) as an active registrant.
Does DR. JIM THONG TRAN (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. JIM THONG TRAN (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JIM THONG TRAN (MD)?
We surface Fleming Island, Florida for DR. JIM THONG TRAN (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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