KEVIN HT PHAN (MD) – Orthopaedic Surgery Physician, NPI 1033539150
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,082 ORTHOPEDIC SURGERY in MI
Provider Addresses for KEVIN HT PHAN (MD)
1111 Leffingwell Ave NE
Grand Rapids, MI 495256406
Phone: (616) 459-7101
Type: Location
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 495256406
Phone: (616) 459-7101
Type: Mailing
1801 ORANGE TREE LN STE 200
REDLANDS, CA 923744587
Phone: (909) 557-1600
Fax: (909) 557-1732
Type: Mailing
8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA 917305157
Phone: (909) 912-1750
Fax: (909) 989-4477
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $527.
Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Stryker Corporation ($269).
Total Amount
$527
General + Research + Ownership
Payments
7
Total payment records
General Amount
$527
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $269 |
| Integra LifeSciences Corporation | $245 |
| Medline Industries LP | $13 |
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: 2021-06-18
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 |
|---|---|---|---|---|
| I20210618001976 | I | Orthopedic Surgery | CA | 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 | 123 | 83 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 111 | 64 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 108 | 71 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 61 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 17 | $0 |
Insurance plans in this area (ZIP 49525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Physician Assistant | CA | |
| Orthopedic Surgery | CA | |
| Physician Assistant | CA | |
| Physical Therapist In Private Practice | CA | |
| Orthopedic Surgery | CA | |
| Physician Assistant | CA |
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