DR. THAN PHAM (DO) – Physical Medicine & Rehabilitation Physician, NPI 1316327778
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
83 PHYSICAL MEDICINE AND REHABILITATION in IA
Provider Addresses for DR. THAN PHAM (DO)
105 E 9th St
Coralville, IA 522412209
Phone: (319) 467-2000
Fax: (319) 467-2225
Type: Location
2450 Coral Ct
Coralville, IA 522412975
Phone: (319) 645-3300
Fax: (319) 645-3695
Type: Location
701 W Forevergreen Rd
North Liberty, IA 523179848
Phone: (319) 356-2223
Fax: (319) 353-6745
Type: Location
2100 WEST LOOP S STE 150
HOUSTON, TX 77027
Phone: (713) 893-7585
Type: Location
1201 DULLES AVE APT 7203
STAFFORD, TX 774775731
Phone: (515) 346-7178
Type: Mailing
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-2223
Fax: (319) 353-6754
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-09-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210903001554 | I | Physical Medicine And Rehabilitation | IA | 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 | 133 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 75 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 102 | 78 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 81 | 81 | $0 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 25 | 22 | $0 |
Insurance plans in this area (ZIP 52241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Family Practice, Hospitalist | IA | |
| Orthopedic Surgery | IA | |
| N E U R O L O G Y | IA | |
| Family Practice | IA | |
| Internal Medicine | IA | |
| Physician Assistant | IA | |
| Internal Medicine, Nephrology | IA | |
| Orthopedic Surgery | WI | |
| Nurse Practitioner | IA |
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