DR. Y NGUYEN PHAM (M.D.) – Internal Medicine Physician, NPI 1538161567

DR. Y NGUYEN PHAM (M.D.) is a healthcare provider. based in Marshall, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. L5093 (TX). The NPI Number for DR. Y NGUYEN PHAM (M.D.) is 1538161567

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. Y NGUYEN PHAM (M.D.)
NPI
1538161567
Phone
(903) 927-6800
Address
PO BOX 1325
Enumeration Date
10 August 2005
Last Update Date
20 June 2013

Doctor Profile

Medical School Name
OHIO MEDICAL UNIVERSITY
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
3375696875
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20090731000066
Address ID
TX752846098DAPOXXXBOXX201
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for DR. Y NGUYEN PHAM (M.D.)

  • 1325, Belmont Street, Marshall Corner, Stoughton, Plymouth County, Massachusetts, 02072, United States

    MARSHALL, TX 756711325

    Phone: (903) 927-6800

    Fax: (903) 935-0617

    Type: Mailing

  • Marshall Doctors Center, 815, South Washington Avenue, Marshall, Harrison County, Texas, 75670, United States

    SUITE 100

    MARSHALL, TX 756705369

    Phone: (903) 927-6800

    Fax: (903) 935-0617

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($24).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

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: 2009-07-31

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
I20090731000066IInternal MedicineTXTBD

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 minutes477331$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit312312$0
99213Established patient office or other outpatient visit, 20-29 minutes229144$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2525$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and2020$0
View full utilization report →

Insurance plans in this area (ZIP 75671)

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Provider's Procedures

DR. Y NGUYEN PHAM (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX82270Stool analysis for blood to screen for colon tumors2020
INTERNAL MEDICINETX83036Hemoglobin A1C level290179
INTERNAL MEDICINETX85610Blood test, clotting time12128
INTERNAL MEDICINETX90670Pneumococcal vaccine for injection into muscle1313
INTERNAL MEDICINETX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report5757

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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

Does DR. Y NGUYEN PHAM (M.D.) have a public NPI I can cite?
Public records show DR. Y NGUYEN PHAM (M.D.) under NPI 1538161567.
Quick check: is DR. Y NGUYEN PHAM (M.D.) active?
Public NPPES data shows DR. Y NGUYEN PHAM (M.D.) with an active NPI status right now.
How should patients interpret DR. Y NGUYEN PHAM (M.D.)'s specialty?
The extract shows Internal Medicine Physician for DR. Y NGUYEN PHAM (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. Y NGUYEN PHAM (M.D.)?
DR. Y NGUYEN PHAM (M.D.) shows a connection to Marshall, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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