MYONG HO NAM (MD) – Blood Banking & Transfusion Medicine Physician, NPI 1770584476
Blood Banking & Transfusion Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
318 PATHOLOGY in VA
Provider Addresses for MYONG HO NAM (MD)
PO BOX 221322
CHANTILLY, VA 201531322
Phone: (703) 691-2516
Fax: (703) 691-3526
Type: Mailing
3300 GALLOWS RD
FALLS CHURCH, VA 220423307
Phone: (703) 776-6679
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 $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: ROCHE SEQUENCING SOLUTIONS, INC. ($150).
Total Amount
$150
General + Research + Ownership
Payments
1
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ROCHE SEQUENCING SOLUTIONS, INC. | $150 |
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: 2014-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (954 days ago).
Enrollment records
2
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20040520000488 | I | Pathology | DC | TBD |
| I20141022002462 | I | Pathology | VA | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 84165 | Protein measurement, serum | 1,541 | 1,085 | $0 |
| 86334 | Immunologic analysis technique on serum (immunofixation) | 880 | 871 | $0 |
| 80503 | Pathology clinical consultation for clinical problem, 5-20 minutes | 317 | 317 | $0 |
| 84166 | Protein measurement, body fluid | 142 | 139 | $0 |
| 86335 | Immunologic analysis technique on body fluid, other fluids with concentration | 116 | 116 | $0 |
Insurance plans in this area (ZIP 20153)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | OK | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | RI | |
| - | MD | |
| P A T H O L O G Y | VA | |
| - | SC |
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