MRS. UYEN NGOC BAO PHAN (PA) – Physician Assistant, NPI 1669857595
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MRS. UYEN NGOC BAO PHAN (PA)
723 N FIELDER RD
SUITE C
ARLINGTON, TX 760124697
Phone: (817) 261-1122
Fax: (817) 261-1123
Type: Mailing
2800 E BROAD ST
SUITE 124
MANSFIELD, TX 760636409
Phone: (817) 539-0959
Fax: (817) 539-0480
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 128 Open Payments records for all available years, with a total value of $26,109.
Total Amount is formed as General ($26,109) + Research ($0) + Ownership ($0) = $26,109.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($23,998).
Total Amount
$26,109
General + Research + Ownership
Payments
128
Total payment records
General Amount
$26,109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $23,998 |
| ABBVIE INC. | $604 |
| Amgen Inc. | $273 |
| Janssen Biotech, Inc. | $145 |
| GENZYME CORPORATION | $88 |
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: 2015-10-05
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 |
|---|---|---|---|---|
| I20151005000631 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 6,000 | 13 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 217 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 141 | 107 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 109 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 119 | 100 | $0 |
Insurance plans in this area (ZIP 76012)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Family Practice, General Practice, Internal Medicine | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
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