Active NPI 1538161567 Individual Practitioner Male Practitioner

Dr. Y Nguyen Pham , MD

Internal Medicine • Marshall, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Y Pham, MD is a certified Internal Medicine practicing in Marshall, TX. With approximately 27 years of clinical experience since graduating from Ohio Medical University in 1999, Dr. Pham delivers high-quality medical care to the local community at 815 S WASHINGTON AVE.

Dr. Pham is affiliated with Christus Trinity Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

815 S Washington Ave
Suite 100

Marshall, TX 756705369

Telephone 9039276800

Fax 9039350617

Associated Practice Facility / Clinic

🏢 Marshall Internal Medicine Associates Facility NPI 1528069648

Medicare Profile & Education

Medical School

Ohio Medical University

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Marshall, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +2.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

14 Specialists

Practicing in Marshall, TX (9538 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pham (27 Years) 27 Yrs

Marshall Specialty Average (24.8 Years) 24.8 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	437	309	$289.00	$95.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	280	280	$295.00	$128.39
99213 Established patient office or other outpatient visit, typically 15 minutes	214	149	$204.00	$64.62
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	27	$91.00	$40.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	32	$119.00	$52.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	27	26	$19.00	$7.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$375.00	$126.58
99442 Telephone medical discussion with physician, 11-20 minutes	18	14	$204.00	$64.02

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	477	331	$289.00	$94.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	312	312	$295.00	$126.47
99213 Established patient office or other outpatient visit, typically 15 minutes	229	144	$204.00	$64.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$19.00	$7.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	20	$119.00	$50.90
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	14	13	$91.00	$40.19
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$204.00	$64.45
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$377.00	$128.53

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	476	344	$261.28	$95.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	307	307	$274.13	$127.33
99213 Established patient office or other outpatient visit, typically 15 minutes	239	137	$186.55	$64.75
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	30	21	$89.27	$39.80
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	18	$19.00	$8.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$116.00	$51.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$370.08	$130.05
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$182.50	$64.60

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	584	415	$236.00	$97.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	288	288	$252.00	$130.75
99213 Established patient office or other outpatient visit, typically 15 minutes	224	165	$161.00	$66.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	63	34	$89.00	$40.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	37	$116.00	$51.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	23	$89.00	$40.28
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$58.82	$11.85
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$362.00	$133.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	20	$19.00	$8.19
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$161.00	$66.49

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	655	447	$220.70	$78.09
99213 Established patient office or other outpatient visit, typically 15 minutes	307	186	$164.67	$50.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$234.65	$114.39
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	66	35	$90.00	$40.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	29	$23.67	$8.47
99442 Telephone medical discussion with physician, 11-20 minutes	29	27	$152.69	$51.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	20	$111.00	$39.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	23	$116.00	$52.78
99443 Telephone medical discussion with physician, 21-30 minutes	20	20	$225.85	$78.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$144.00	$51.99

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	697	417	$206.00	$77.38
99213 Established patient office or other outpatient visit, typically 15 minutes	310	197	$168.00	$50.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	122	$206.00	$104.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$208.15	$112.97
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$168.00	$72.32
36415 Insertion of needle into vein for collection of blood sample	41	41	$19.00	$2.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	29	$111.00	$39.86
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	31	$26.00	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$311.00	$126.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$144.00	$51.68

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	890	446	$206.00	$103.86
36415 Insertion of needle into vein for collection of blood sample	498	350	$19.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	431	253	$168.00	$70.01
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	77	37	$111.00	$40.15
85610 Blood test, clotting time	66	17	$17.00	$4.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$207.00	$112.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$311.00	$159.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	31	$144.00	$51.84
G0009 Administration of pneumococcal vaccine	31	31	$44.00	$19.51
90670 Pneumococcal vaccine for injection into muscle	19	19	$819.00	$197.79
G0008 Administration of influenza virus vaccine	15	15	$30.00	$19.51
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$71.00	$16.27
90662 Influenza vaccine split virus, preservative free	13	13	$64.00	$50.01
81003 Automated urinalysis test	13	13	$113.00	$2.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$115.00	$105.59
82270 Stool analysis for blood to screen for colon tumors	11	11	$13.00	$4.29

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	967	491	$272.78	$102.54
36415 Insertion of needle into vein for collection of blood sample	662	452	$11.09	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	537	294	$195.63	$69.88
80053 Blood test, comprehensive group of blood chemicals	346	330	$33.25	$11.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	311	302	$24.60	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	296	294	$41.56	$13.99
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	169	62	$120.40	$39.48
81001 Manual urinalysis test with examination using microscope, automated	156	137	$10.22	$4.26
83036 Hemoglobin A1C level	153	147	$30.18	$13.05
G0008 Administration of influenza virus vaccine	150	149	$31.49	$23.91
90662 Influenza vaccine split virus, preservative free	133	133	$65.22	$47.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	119	25	$185.71	$66.70
85610 Blood test, clotting time	114	21	$14.18	$5.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	27	$11.00	$1.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg	112	27	$3.79	$0.11
J1885 Injection, ketorolac tromethamine, per 15 mg	84	14	$9.43	$0.70
82044 Urine microalbumin (protein) analysis	83	82	$15.13	$6.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	50	$64.97	$24.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	62	52	$158.32	$51.37
93000 Routine ekg using at least 12 leads including interpretation and report	57	52	$57.84	$16.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	17	$188.78	$66.62
99495 Transitional care management services for problem of at least moderate complexity	41	38	$414.76	$155.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$259.15	$110.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$417.83	$157.96
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	19	$33.30	$18.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	16	14	$35.88	$16.11
G0009 Administration of pneumococcal vaccine	13	13	$45.08	$23.91
99318 Nursing facility annual assessment, typically 30 minutes	13	13	$248.77	$93.06
82270 Stool analysis for blood to screen for colon tumors	11	11	$9.64	$4.37

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L5093

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

154432201 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

815 S Washington Ave, Marshall, TX 756705369

Phone: 9133154880

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Practice Associates & Co-Workers

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

7 Associated Practitioners

Amy Sustaita

Physician Assistant

NPI 1003113770

Dr. Charity Eko , MD MPH MBA

Family Medicine

NPI 1114362902

MDMPHMBA

Dr. Michelle Ray , MD

Internal Medicine

NPI 1184120735

Doctor of Medicine (M.D.)

Terrance Venden , PA, C

Physician Assistant

NPI 1326049438

Physician Assistant, C

Dr. James Facello , DO

Internal Medicine

NPI 1508867680

Doctor of Osteopathic Medicine (D.O.)

Dr. Valarie Allman , MD

Internal Medicine

NPI 1689675753

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 20, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2013

Registered at 815 S WASHINGTON AVE, SUITE 100, MARSHALL, TX 756705369 (Tel: 9039276800)

📍

Updated Business Mailing Address June 20, 2013

Registered at PO BOX 1325, MARSHALL, TX 756711325 (Tel: 9039276800)

👤

Provider Name / Credentials Updated June 20, 2013

Recorded as Y PHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2013

Internal Medicine (License #L5093 in TX)

🟢

Initial NPI Registration & Enumeration August 10, 2005

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: 1538161567

Entity Type:

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

Enumeration Date: August 10, 2005

Last Update: June 20, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1325

Marshall, TX 756711325

Phone: 9039276800

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.