Active NPI 1356430870 Individual Practitioner Male Practitioner

Dr. Ly T Phan , MD

Surgery • Columbia, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ly Phan, MD is a certified Surgery practicing in Columbia, MO. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Phan delivers high-quality medical care to the local community at 1601 E BROADWAY.

Dr. Phan is affiliated with Cameron Regional Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1601 E Broadway
Ste 240

Columbia, MO 652018020

Telephone 5738158145

Fax 5738153832

Associated Practice Facility / Clinic

🏢 Women's Health Associates, Inc. Facility NPI 1417926676

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Columbia, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +9.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

91 Specialists

Practicing in Columbia, MO (766 Statewide)

Telehealth Adoption Rate

3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phan (27 Years) 27 Yrs

Columbia Specialty Average (17.5 Years) 17.5 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	26	26	$99.00	$90.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	17	$113.00	$73.26
99213 Established patient office or other outpatient visit, typically 15 minutes	17	12	$65.00	$61.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$729.00	$97.91
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$628.78	$67.28
45380 Biopsy of large bowel using an endoscope	14	14	$1130.00	$184.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$236.00	$121.74

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	53	51	$99.00	$91.77
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$628.78	$77.81
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$65.00	$62.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	11	$113.00	$74.61
45380 Biopsy of large bowel using an endoscope	19	19	$1090.95	$167.92
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$175.00	$78.31
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	12	$388.00	$157.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$729.00	$88.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$65.00	$63.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	18	$113.00	$67.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$99.00	$92.83
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$628.78	$87.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$729.00	$102.03
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$175.00	$94.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1106.00	$231.82
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$780.00	$161.67
45380 Biopsy of large bowel using an endoscope	12	12	$1130.00	$160.38

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	32	32	$118.00	$80.08
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	23	$628.78	$79.59
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$175.00	$95.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$49.00	$34.49
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$65.00	$64.60
45380 Biopsy of large bowel using an endoscope	13	13	$1130.00	$177.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	36	$129.03	$69.89
99221 Initial hospital inpatient care per day, typically 30 minutes	37	35	$184.19	$98.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	18	$49.00	$25.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$118.00	$73.63
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$65.00	$49.83
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$628.78	$92.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$729.00	$130.87
45380 Biopsy of large bowel using an endoscope	11	11	$1130.00	$197.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	52	$129.75	$69.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	37	$78.28	$37.95
99221 Initial hospital inpatient care per day, typically 30 minutes	31	30	$210.90	$97.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$250.53	$131.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$77.00	$41.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$366.00	$194.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$49.00	$24.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$118.00	$73.43
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$65.00	$49.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	220	91	$70.00	$36.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	108	100	$240.00	$127.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	66	$75.00	$39.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$187.00	$97.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	45	$127.17	$68.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$286.00	$147.75
49650 Repair of groin hernia using an endoscope	22	22	$2216.73	$496.14
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$2266.00	$679.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$355.00	$189.89
99238 Hospital discharge day management, 30 minutes or less	12	11	$126.00	$67.81
47562 Removal of gallbladder using an endoscope	12	12	$2012.06	$624.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	198	87	$73.00	$37.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$195.78	$100.09
99221 Initial hospital inpatient care per day, typically 30 minutes	67	66	$186.69	$95.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	40	$131.84	$68.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	40	$78.84	$39.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$251.00	$126.35
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	26	26	$2165.00	$665.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$372.00	$194.01
49650 Repair of groin hernia using an endoscope	14	14	$1088.57	$438.91
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$132.00	$66.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$161.85	$71.35

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2005030724

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

207505603 (MO)

Hospital & Practice Group Affiliations

Cameron Regional Medical Center Inc

1608 E Evergreen St, Cameron, MO 644292400

Phone: 8166325424

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Anne Petersen , MD

Surgery

NPI 1114968435

Doctor of Medicine (M.D.)

Emily Webber , PA-C

Physician Assistant

NPI 1356962039

Physician Assistant (Certified)

Dr. Lisa Rollison , DO

Surgery

NPI 1417111337

Doctor of Osteopathic Medicine (D.O.)

Hunter Damron , PA-C

Physician Assistant

NPI 1467283556

Physician Assistant (Certified)

Dr. Benjamin Gerber , MD

Surgery

NPI 1467748673

Doctor of Medicine (M.D.)

Dr. Hadassah Consuegra Anderson , DO

Surgery

NPI 1699190983

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 11, 2017

Registered at 1601 E BROADWAY, STE 240, COLUMBIA, MO 652018020 (Tel: 5738158145)

📍

Updated Business Mailing Address April 11, 2017

Registered at 670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 631418573 (Tel: 5738158145)

👤

Provider Name / Credentials Updated April 11, 2017

Recorded as LY PHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Surgery (License #2005030724 in MO)

✅

NPI Profile Active April 01, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2014

Registered at 135 PLAZA DR, SUITE 202, SIKESTON, MO 638015136 (Tel: 5734726003)

📍

Updated Business Mailing Address April 01, 2014

Registered at 135 PLAZA DR, SUITE 202, SIKESTON, MO 638015136 (Tel: 5734726003)

👤

Provider Name / Credentials Updated April 01, 2014

Recorded as LY PHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2014

Surgery (License #2005030724 in MO)

🟢

Initial NPI Registration & Enumeration October 12, 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: 1356430870

Entity Type:

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

Enumeration Date: October 12, 2006

Last Update: April 11, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

670 Mason Ridge Center Dr, Ste 300

Saint Louis, MO 631418573

Phone: 5738158145

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.