LOI K PHUONG (MD) – Neurological Surgery Physician, NPI 1841297041

Neurological Surgery Physician

LOI K PHUONG (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 01057259A (IN). The NPI Number for LOI K PHUONG (MD) is 1841297041

Main info

Male

29 Years Of Experience

Accepts Medicare Assignment

Name

LOI K PHUONG (MD)

NPI

1841297041

Phone

Not provided

Address

250 N SHADELAND AVE

Enumeration Date

1 July 2005

Last Update Date

4 January 2024

Doctor Profile

Medical School Name

UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE

Secondary Phone

8884843258

Graduation Year

1997 (29 years ago)

PAC ID

1355241910

Group Practice PAC ID

9638617913

Professional Enrollment ID

I20101005000236

Address ID

IN462021239IN1701XBLVD400

Telehealth

Yes

Contacts

Secure Messaging

lphuong@direct.iuhealth.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

138 NEUROSURGERY in IN

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Provider Addresses for LOI K PHUONG (MD)

250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
7956, West Jefferson Boulevard, Brierwood Hills, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468044140
Phone: (260) 436-2416
Fax: (260) 436-6936
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Medtronic, Inc. ($163).

Total Amount

$226

General + Research + Ownership

Payments

Total payment records

General Amount

$226

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Medtronic, Inc.	$163
Carlsmed, Inc.	$43
CSL Behring	$20

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: 2010-10-05

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

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
I20040109001106	I	Neurosurgery	OH	TBD
I20101005000236	I	Neurosurgery	IN	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99213	Established patient office or other outpatient visit, 20-29 minutes	168	123	$0
63048	Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment	124	54	$0
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	54	$0
22614	Fusion of additional segment of spine	86	47	$0
99212	Established patient office or other outpatient visit, 10-19 minutes	71	70	$0

View full utilization report →

Insurance plans in this area (ZIP 46219)

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Provider's Procedures

LOI K PHUONG (MD) performs procedures in NEUROSURGERY. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
NEUROSURGERY	IN	22842	Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments	34	34
NEUROSURGERY	IN	63048	Partial removal of spine bone with release of spinal cord and/or nerves	82	50

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: 9638617913View full group profile

Name	Specialty	State
DR. MELISSA G COLLIER (MD, MPH, FAAP)	Pediatric Medicine	NC
HRISTOS KAIMAKLIOTIS (MD)	U R O L O G Y	IN
RIZA SEIT (MD)	Diagnostic Radiology, Interventional Radiology	NY
RUANA CRONIN (NP)	Nurse Practitioner	IN
ERIN R RUDZINSKI (MD)	P A T H O L O G Y	IN
BRUCE H MATT (MD)	O T O L A R Y N G O L O G Y	IN
PARIS ROACH (M.D.)	E N D O C R I N O L O G Y	IN
HAIHONG MAO (MD)	Family Practice, Sports Medicine	IN
MONIKA FISCHER (MD)	Gastroenterology, Internal Medicine	IN
AKI SEFARO PURYEAR (MD)	Orthopedic Surgery	MO