Active NPI 1538331665 Individual Practitioner Male Practitioner

Dr. Khanh Ngoc Pham , MD

Urology • Bellevue, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Khanh Pham, MD is a certified Urology practicing in Bellevue, WA. With approximately 18 years of clinical experience since graduating from Medical College Of Wisconsin in 2008, Dr. Pham delivers high-quality medical care to the local community at 1135 116TH AVE NE STE 620.

Dr. Pham is affiliated with Overlake Medical Clinics Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1135 116th Ave Ne Ste 620

Bellevue, WA 980044636

Telephone 4254548016

Fax 4254532827

Associated Practice Facility / Clinic

🏢 Bellevue Urology Associates Inc Ps Facility NPI 1598794240

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Bellevue, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -9.1 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Bellevue, WA (351 Statewide)

Telehealth Adoption Rate

63.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pham (18 Years) 18 Yrs

Bellevue Specialty Average (27.1 Years) 27.1 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	98	88	$357.52	$136.95
99213 Established patient office or other outpatient visit, typically 15 minutes	77	69	$254.19	$97.70
52000 Diagnostic exam of bladder and urethra using an endoscope	72	56	$711.99	$277.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$463.13	$179.54
81002 Urinalysis, manual test	44	32	$5.23	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	18	$40.79	$16.18
51798 Ultrasound measurement of bladder capacity after voiding	30	30	$32.94	$13.56
J1580 Injection, garamycin, gentamicin, up to 80 mg	29	17	$3.04	$2.28
76872 Ultrasound scan of pelvic region through rectum	27	26	$608.67	$158.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$502.04	$198.80
55700 Biopsy of prostate gland	18	18	$692.97	$272.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$166.01	$65.55
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	17	17	$44.28	$17.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$311.76	$123.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$481.29	$183.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$610.29	$237.66

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	99	90	$356.79	$139.50
99213 Established patient office or other outpatient visit, typically 15 minutes	85	71	$253.39	$97.31
52000 Diagnostic exam of bladder and urethra using an endoscope	84	60	$727.33	$284.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$461.95	$180.32
81002 Urinalysis, manual test	67	55	$5.24	$3.41
51798 Ultrasound measurement of bladder capacity after voiding	54	51	$31.66	$12.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	13	$40.70	$14.65
76770 Complete ultrasound scan behind abdominal cavity	20	18	$230.00	$91.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$311.84	$125.08
76872 Ultrasound scan of pelvic region through rectum	17	17	$620.28	$155.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$500.59	$193.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$360.27	$140.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$166.71	$60.77
55700 Biopsy of prostate gland	11	11	$701.16	$255.84

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	156	128	$321.63	$138.36
99213 Established patient office or other outpatient visit, typically 15 minutes	96	86	$223.09	$98.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$454.15	$180.55
52000 Diagnostic exam of bladder and urethra using an endoscope	74	56	$607.87	$284.41
81002 Urinalysis, manual test	69	58	$5.24	$3.44
J0696 Injection, ceftriaxone sodium, per 250 mg	64	15	$0.97	$0.49
51798 Ultrasound measurement of bladder capacity after voiding	63	58	$42.36	$12.54
76770 Complete ultrasound scan behind abdominal cavity	19	17	$309.36	$121.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$439.95	$181.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	14	$56.10	$16.15
76872 Ultrasound scan of pelvic region through rectum	12	12	$591.79	$166.12
55700 Biopsy of prostate gland	12	12	$711.02	$278.13
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$167.11	$66.06
36415 Insertion of needle into vein for collection of blood sample	12	11	$4.50	$2.98

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	125	108	$268.63	$141.97
99213 Established patient office or other outpatient visit, typically 15 minutes	123	110	$182.11	$100.42
81002 Urinalysis, manual test	88	72	$7.33	$3.48
51798 Ultrasound measurement of bladder capacity after voiding	81	68	$49.25	$12.35
52000 Diagnostic exam of bladder and urethra using an endoscope	67	54	$459.46	$274.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$400.32	$184.61
84153 Psa (prostate specific antigen) measurement, total	34	30	$51.49	$18.39
36415 Insertion of needle into vein for collection of blood sample	32	29	$5.77	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$366.75	$198.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	13	$69.78	$16.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	11	$40.00	$26.36
J1580 Injection, garamycin, gentamicin, up to 80 mg	22	11	$2.54	$1.92
52000 Diagnostic exam of bladder and urethra using an endoscope	20	20	$295.00	$86.16
76770 Complete ultrasound scan behind abdominal cavity	16	16	$331.69	$132.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$281.42	$124.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	151	$149.00	$82.34
81002 Urinalysis, manual test	138	93	$11.00	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	91	$220.00	$118.23
51798 Ultrasound measurement of bladder capacity after voiding	107	84	$40.00	$12.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$342.00	$177.04
52000 Diagnostic exam of bladder and urethra using an endoscope	81	63	$310.43	$86.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	78	32	$40.00	$26.36
87086 Bacterial colony count, urine	57	45	$24.00	$7.86
36415 Insertion of needle into vein for collection of blood sample	52	45	$9.00	$2.87
84153 Psa (prostate specific antigen) measurement, total	50	42	$45.00	$17.55
76700 Ultrasound of abdomen	31	29	$308.00	$139.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$223.00	$119.12
87077 Bacterial culture for aerobic isolates	21	12	$29.00	$8.02
87088 Bacterial urine culture	21	12	$26.00	$8.03
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	18	11	$27.00	$8.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$296.00	$153.12
81003 Automated urinalysis test	15	15	$9.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	188	$149.00	$80.34
51798 Ultrasound measurement of bladder capacity after voiding	181	132	$41.96	$14.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	115	$220.89	$115.09
81003 Automated urinalysis test	136	99	$9.00	$2.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$342.00	$174.22
87086 Bacterial colony count, urine	93	57	$24.00	$8.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	93	41	$40.00	$25.22
52000 Diagnostic exam of bladder and urethra using an endoscope	90	72	$345.00	$87.02
51702 Simple insertion of temporary bladder tube	89	14	$141.00	$69.14
36415 Insertion of needle into vein for collection of blood sample	80	64	$11.96	$2.87
84153 Psa (prostate specific antigen) measurement, total	79	64	$49.94	$19.52
81002 Urinalysis, manual test	71	55	$11.00	$3.36
87088 Bacterial urine culture	50	24	$26.00	$8.63
87077 Bacterial culture for aerobic isolates	49	24	$29.00	$8.61
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	49	24	$27.00	$9.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$296.00	$152.52
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	26	26	$700.00	$305.65
76700 Ultrasound of abdomen	19	18	$308.00	$135.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$288.00	$144.40
55700 Biopsy of prostate gland	16	16	$351.00	$132.15
76872 Ultrasound scan of pelvic region through rectum	16	16	$71.00	$33.93
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$69.00	$32.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$223.00	$110.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	176	$149.00	$76.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	135	$220.00	$112.87
51798 Ultrasound measurement of bladder capacity after voiding	156	107	$36.79	$17.69
81003 Automated urinalysis test	126	91	$9.00	$2.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$342.00	$171.87
87086 Bacterial colony count, urine	112	67	$24.00	$9.67
52000 Diagnostic exam of bladder and urethra using an endoscope	93	71	$345.00	$85.92
51702 Simple insertion of temporary bladder tube	78	18	$141.00	$69.34
81002 Urinalysis, manual test	74	50	$11.99	$3.36
36415 Insertion of needle into vein for collection of blood sample	68	58	$14.60	$2.90
84153 Psa (prostate specific antigen) measurement, total	68	58	$58.68	$21.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	50	38	$40.00	$23.27
87088 Bacterial urine culture	38	20	$26.00	$9.79
87077 Bacterial culture for aerobic isolates	36	21	$29.00	$9.77
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	34	20	$27.00	$10.46
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	21	20	$776.19	$312.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$288.00	$140.16
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	18	$1004.00	$436.46
76872 Ultrasound scan of pelvic region through rectum	16	16	$200.00	$105.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$296.00	$143.91
53899 Other procedure on urinary system	16	16	$3000.00	$2042.28
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	14	$125.00	$56.25
76872 Ultrasound scan of pelvic region through rectum	12	12	$71.00	$32.77
55700 Biopsy of prostate gland	12	12	$351.00	$129.09
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$69.00	$31.28
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$425.00	$159.08

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	186	152	$220.00	$105.56
99213 Established patient office or other outpatient visit, typically 15 minutes	138	118	$149.00	$72.66
51798 Ultrasound measurement of bladder capacity after voiding	132	109	$36.00	$20.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$342.00	$159.75
51702 Simple insertion of temporary bladder tube	112	15	$141.00	$64.20
81002 Urinalysis, manual test	89	70	$12.00	$3.43
52000 Diagnostic exam of bladder and urethra using an endoscope	81	64	$345.00	$101.66
87086 Bacterial colony count, urine	73	51	$24.00	$10.85
84153 Psa (prostate specific antigen) measurement, total	63	53	$65.95	$23.55
36415 Insertion of needle into vein for collection of blood sample	62	52	$15.00	$2.80
87077 Bacterial culture for aerobic isolates	32	20	$29.00	$10.86
87088 Bacterial urine culture	32	20	$26.00	$8.62
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	30	18	$27.00	$11.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	18	$40.00	$20.59
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	27	24	$763.89	$286.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	22	$288.00	$127.64
81003 Automated urinalysis test	25	18	$9.00	$3.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$296.00	$142.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$223.00	$106.92
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$425.00	$137.66

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD60337799

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2030225 (WA)

Hospital & Practice Group Affiliations

Overlake Medical Clinics Llc

1035 116th Ave Ne, Bellevue, WA 980044604

Overlake Medical Clinics Llc

1035 116th Ave Ne, Bellevue, WA 980044604

Phone: 4256885072

Overlake Medical Clinics Llc

1750 112th Ave Ne, Bellevue, WA 980043772

Phone: 4256885460

Secondary Practice Locations

751 Ne Blakely Dr Ste 4020

Issaquah, WA 980296201

Phone: 4254548016

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Robert Weissman , MD

Urology

NPI 1033298674

Doctor of Medicine (M.D.)

Aeisha Adnan , PA

Physician Assistant

NPI 1134439540

Physician Assistant

Allison Lee , PA-C

Physician Assistant

NPI 1316678196

Physician Assistant (Certified)

Dr. Serena Mckenzie , ND

Naturopath

NPI 1407922263

Doctor of Naturopathic Medicine

Dr. Martin Wall , MD

Urology

NPI 1447338579

Doctor of Medicine (M.D.)

Melody Fan , PA-C

Physician Assistant - Surgical

NPI 1548308398

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2017

Registered at 1135 116TH AVE NE STE 620, BELLEVUE, WA 980044636 (Tel: 4254548016)

📍

Updated Business Mailing Address September 28, 2017

Registered at 1135 116TH AVE NE STE 620, BELLEVUE, WA 980044636 (Tel: (425) 454-8016)

👤

Provider Name / Credentials Updated September 28, 2017

Recorded as KHANH PHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2017

Urology (License #MD60337799 in WA)

✅

NPI Profile Active October 01, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2013

Registered at 1100 9TH AVE, C7-URO, SEATTLE, WA 981012756 (Tel: 2062236772)

📍

Updated Business Mailing Address October 01, 2013

Registered at 1100 9TH AVE, MS: M4-PFS, SEATTLE, WA 981012756 (Tel: 2065155811)

👤

Provider Name / Credentials Updated October 01, 2013

Recorded as KHANH PHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2013

Urology (License #MD60337799 in WA)

🟢

Initial NPI Registration & Enumeration March 28, 2008

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: 1538331665

Entity Type:

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

Enumeration Date: March 28, 2008

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1135 116th Ave Ne Ste 620

Bellevue, WA 980044636

Phone: 4254548016

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.