DR. LINDA PHAM (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1881837094
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
62 UNDERSEA AND HYPERBARIC MEDICINE in TX
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Provider Addresses for DR. LINDA PHAM (M.D.)
Medical City Dallas, 7777, Forest Lane, Dallas, Dallas County, Texas, 75230, United States
SUITE C239
DALLAS, TX 752302571
Phone: (972) 566-4868
Fax: (972) 566-4867
Type: Location
4429, Overton Terrace Court, Fort Worth, Tarrant County, Texas, 76109, United States
FORT WORTH, TX 761092518
Phone:
Type: Mailing
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 $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Inari Medical, Inc. ($29).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $29 |
| Paratek Pharmaceuticals, Inc. | $19 |
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: 2011-10-12
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 |
|---|---|---|---|---|
| I20111012000768 | I | Undersea And Hyperbaric Medicine | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 57 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 75230)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UNDERSEA AND HYPERBARIC MEDICINE | TX | 11042 | Removal of skin and tissue first 20 sq cm or less | 565 | 155 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Family Practice, Undersea And Hyperbaric Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | NC | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Undersea And Hyperbaric Medicine, Family Practice, Family Practice, Undersea And Hyperbaric Medicine | TX | |
| Geriatric Medicine, Family Practice | TX | |
| General Practice | AL |
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