DOMINIQUE PHAM (MD) – Internal Medicine Physician, NPI 1891776662
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DOMINIQUE PHAM (MD)
Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States
ATT:SHARON SILVA
BROOKLINE, MA 024469135
Phone: (603) 890-4404
Type: Mailing
1996, Centre Street, Highland, West Roxbury, Boston, Suffolk County, Massachusetts, 02132, United States
WEST ROXBURY, MA 021323329
Phone: (617) 469-0470
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-05-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $17 |
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: 2004-09-08
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 |
|---|---|---|---|---|
| I20040908001271 | I | Gastroenterology | MA | 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 | 1,589 | 478 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 995 | 491 | $0 |
| 81002 | Urinalysis, manual test | 559 | 447 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 459 | 420 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 390 | 390 | $0 |
Insurance plans in this area (ZIP 02446)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MA | 45378 | Diagnostic examination of large bowel using an endoscope | 47 | 47 |
| GASTROENTEROLOGY | MA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 17 | 17 |
| GASTROENTEROLOGY | MA | 81002 | Urinalysis, manual test | 275 | 211 |
Reviews
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