Active NPI 1013073766 Individual Practitioner Male Practitioner

Dr. Douglas M Phan , MD

Otolaryngology • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Phan, MD is a certified Otolaryngology practicing in Modesto, CA. With approximately 44 years of clinical experience since graduating from Stanford University School Of Medicine in 1982, Dr. Phan delivers high-quality medical care to the local community at 1541 FLORIDA AVE STE 304.

Dr. Phan is affiliated with Advanced Surgical Associates and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, exam of ear using a microscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1541 Florida Ave Ste 304

Modesto, CA 953504439

Telephone 2095773388

Fax 2095213262

Associated Practice Facility / Clinic

🏢 Mchenry Medical Group Inc Facility NPI 1205859154

Medicare Profile & Education

Medical School

Stanford University School Of Medicine

Graduation Year

1982

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +9.2 yrs vs City Avg

City Avg: 34.8 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Modesto, CA (1282 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phan (44 Years) 44 Yrs

Modesto Specialty Average (34.8 Years) 34.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	201	$385.00	$147.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	226	226	$475.00	$189.41
92504 Exam of ear using a microscope	171	100	$116.00	$36.59
31575 Diagnostic exam of voice box using a flexible endoscope	39	37	$300.00	$158.76
69210 Removal of impacted ear wax	25	23	$265.76	$55.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	193	$385.00	$145.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	246	246	$475.00	$187.98
92504 Exam of ear using a microscope	103	75	$154.83	$36.78
31575 Diagnostic exam of voice box using a flexible endoscope	24	23	$300.00	$160.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$425.00	$128.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$475.00	$188.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	120	$385.00	$146.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$425.00	$127.18
92504 Exam of ear using a microscope	52	47	$116.00	$36.73
31575 Diagnostic exam of voice box using a flexible endoscope	20	18	$300.00	$159.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	163	$165.00	$94.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	119	$251.46	$114.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$423.40	$182.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$274.22	$137.77
69210 Removal of impacted ear wax	20	20	$140.58	$49.71
92557 Comprehensive hearing and speech recognition test	14	14	$105.00	$37.62
92550 Test for eardrum and muscle function	13	13	$50.00	$21.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	521	337	$165.00	$78.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	419	419	$250.00	$111.70
69210 Removal of impacted ear wax	73	72	$120.00	$49.71
31575 Diagnostic exam of voice box using a flexible endoscope	47	45	$300.00	$130.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$250.00	$113.03
70486 CT scan of face	30	29	$400.00	$148.12
31579 Exam to assess movement of vocal cord flaps using an endoscope	13	12	$560.00	$201.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	677	677	$250.21	$112.04
99213 Established patient office or other outpatient visit, typically 15 minutes	468	326	$166.08	$77.46
69210 Removal of impacted ear wax	164	159	$120.00	$49.32
31575 Diagnostic exam of voice box using a flexible endoscope	124	116	$300.00	$123.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	74	$250.00	$113.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$100.00	$47.42
70486 CT scan of face	27	27	$400.00	$148.78
92504 Exam of ear using a microscope	27	25	$81.30	$31.78
31579 Exam to assess movement of vocal cord flaps using an endoscope	20	20	$560.00	$193.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	37	$265.23	$84.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$385.80	$122.29
92504 Exam of ear using a microscope	30	27	$114.23	$36.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	57	$194.21	$73.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$296.53	$111.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$112.00	$41.68

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License CA G51181

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Hospital & Practice Group Affiliations

Advanced Surgical Associates

200 Jose Figueres Ave, San Jose, CA 951161588

Phone: 4089295610

Secondary Practice Locations

927 Broadway St, Suite 322

Quincy, IL 623012719

Phone: 2172238400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Brian Mc Caffrey , MD

Urology

NPI 1013940451

Doctor of Medicine (M.D.)

Dr. Giang Lam , MD

Family Medicine

NPI 1033198288

Doctor of Medicine (M.D.)

Dr. Keliang Xiao , MD

Plastic Surgery

NPI 1043672629

Doctor of Medicine (M.D.)

Dr. Tanya Dam , DO

Internal Medicine - Gastroenterology

NPI 1104105030

Doctor of Osteopathic Medicine (D.O.)

Dr. Raymundo Racela , MD

Surgery

NPI 1144372244

Doctor of Medicine (M.D.)

Dr. Eihab Akary , MD

Urology

NPI 1144640855

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location January 16, 2019

Registered at 1541 FLORIDA AVE STE 304, MODESTO, CA 953504439 (Tel: 2095773388)

✅

NPI Profile Active December 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2013

Registered at 927 BROADWAY ST, SUITE 322, QUINCY, IL 623012719 (Tel: 2172238400)

📍

Updated Business Mailing Address December 06, 2013

Registered at 927 BROADWAY ST, SUITE 322, QUINCY, IL 623012719 (Tel: 2172238400)

👤

Provider Name / Credentials Updated December 06, 2013

Recorded as DOUGLAS PHAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2013

Otolaryngology (License #G51181 in CA)

🟢

Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013073766

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 28, 2006

Last Update: January 16, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

927 Broadway St, Suite 322

Quincy, IL 623012719

Phone: 2172238400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.