Deactivated NPI 1447464730 Deactivated / Inactive NPI Female Practitioner

Dr. Mai Thanh Pham , MD

Surgery - Vascular Surgery • Edmonds, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mai Pham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 09, 2007

NPI Deactivation Date September 17, 2019

Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Mai Pham, MD was a registered Surgery - Vascular Surgery practicing in Edmonds, WA. Throughout an active medical career spanning 12 years, Dr. Pham provided care at the practice location at 7315 212TH ST SW until profile deactivation on 2019-09-17.

Historical Medicare Part B clinical services included ultrasound of dialysis access, use of a drug to induce depression of consciousness by physician performing a procedure, ultrasound study of arm and leg arteries. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7315 212th St Sw
Suite 103

Edmonds, WA 980267610

Telephone 2063222000

Fax 2063222001

Associated Practice Facility / Clinic

🏢 Puget Sound Family Physicians Facility NPI 1083643340

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Edmonds, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Edmonds, WA (135 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93990 Ultrasound of dialysis access	277	149	$419.00	$143.53
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	274	41	$32.00	$12.13
93922 Ultrasound study of arm and leg arteries	146	102	$267.00	$81.63
93925 Ultrasound of leg arteries or artery grafts	113	94	$653.00	$271.00
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	84	38	$604.00	$219.41
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	84	74	$633.00	$195.28
76937 Ultrasonic guidance for blood vessel access	67	50	$100.00	$37.20
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	54	43	$146.00	$56.57
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	49	39	$4072.00	$1445.55
93926 Ultrasound of one leg arteries or artery grafts	49	37	$348.00	$139.28
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	45	41	$16193.00	$5903.60
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	41	33	$457.00	$182.94
37229 Removal of plaque in artery of leg, initial vessel	37	31	$31646.05	$7554.94
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$197.00	$77.63
37225 Removal of plaque in arteries of leg	27	25	$32174.00	$14042.15
93880 Ultrasound of both sides of head and neck blood flow	22	22	$543.00	$217.09
37233 Removal of plaque in artery of leg, each additional vessel	22	19	$4163.00	$1505.70
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	19	$533.00	$203.93
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	16	15	$43495.00	$18018.93
75630 Review by radiologist of abdominal aorta and both leg arteries image	16	16	$467.00	$181.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$120.00	$47.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	512	63	$32.00	$11.82
93990 Ultrasound of dialysis access	411	155	$419.00	$144.02
99213 Established patient office or other outpatient visit, typically 15 minutes	347	219	$197.00	$71.53
93922 Ultrasound study of arm and leg arteries	230	121	$267.00	$77.52
93925 Ultrasound of leg arteries or artery grafts	180	113	$653.00	$260.38
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	145	102	$633.00	$187.18
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	138	50	$604.00	$214.87
76937 Ultrasonic guidance for blood vessel access	121	89	$100.00	$32.37
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	89	63	$146.00	$54.80
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	89	64	$16193.00	$5875.35
93926 Ultrasound of one leg arteries or artery grafts	85	59	$348.00	$144.27
37229 Removal of plaque in artery of leg, initial vessel	74	53	$31664.00	$5800.63
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	74	52	$4072.00	$1459.02
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	69	47	$457.00	$177.97
37233 Removal of plaque in artery of leg, each additional vessel	63	45	$4163.00	$1522.55
37225 Removal of plaque in arteries of leg	47	39	$32174.00	$11690.15
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	42	31	$43256.90	$15938.30
93880 Ultrasound of both sides of head and neck blood flow	39	32	$543.00	$205.09
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	38	27	$330.00	$116.77
93970 Ultrasound study of arm or leg veins with compression and maneuvers	35	34	$533.00	$196.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$441.00	$160.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$120.00	$43.35
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	20	11	$4359.00	$1233.71
36821 Relocation of arm vein with connection to arm artery, open procedure	14	14	$1875.00	$644.15
75630 Review by radiologist of abdominal aorta and both leg arteries image	13	12	$467.00	$176.04
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	11	11	$13492.00	$2379.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	716	71	$32.00	$11.64
99213 Established patient office or other outpatient visit, typically 15 minutes	614	298	$197.00	$70.06
93990 Ultrasound of dialysis access	409	170	$419.00	$142.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	283	197	$120.00	$42.24
93922 Ultrasound study of arm and leg arteries	238	128	$267.00	$78.05
93925 Ultrasound of leg arteries or artery grafts	175	110	$653.00	$254.48
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	141	79	$4072.00	$1471.58
76937 Ultrasonic guidance for blood vessel access	140	95	$100.00	$32.27
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	139	79	$604.00	$212.84
37229 Removal of plaque in artery of leg, initial vessel	137	81	$31664.00	$5727.61
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	135	79	$146.00	$53.38
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	125	89	$633.00	$183.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$441.00	$156.30
37233 Removal of plaque in artery of leg, each additional vessel	123	73	$4163.00	$1499.12
93926 Ultrasound of one leg arteries or artery grafts	117	78	$348.00	$140.13
A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard	102	35	$10.00	$1.92
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	98	57	$43495.00	$15775.05
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	96	68	$16193.00	$5781.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	66	39	$330.00	$115.80
93970 Ultrasound study of arm or leg veins with compression and maneuvers	63	60	$533.00	$193.86
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	63	46	$457.00	$167.27
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	58	28	$4359.00	$1183.39
37225 Removal of plaque in arteries of leg	54	41	$32174.00	$11743.69
93880 Ultrasound of both sides of head and neck blood flow	51	44	$543.00	$200.81
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	43	36	$3478.00	$1226.44
36471 Injection of chemical agent into multiple incompetent veins of leg	37	20	$650.00	$247.98
29582 Application of vein wound compression system thigh and lower leg	34	18	$200.00	$35.51
36821 Relocation of arm vein with connection to arm artery, open procedure	33	30	$1875.00	$614.06
37220 Balloon dilation of groin artery, initial vessel	20	17	$9117.00	$1702.04
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	20	20	$581.00	$128.75
76937 Ultrasonic guidance for blood vessel access	18	17	$100.00	$13.98
36589 Removal of central venous catheter for infusion	17	16	$456.00	$156.98
75630 Review by radiologist of abdominal aorta and both leg arteries image	16	16	$467.00	$172.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$56.00	$19.92

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License WA MD00048340

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Rajitha Mathew , FNP-C

Nurse Practitioner - Family

NPI 1386185098

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

12 Historical Events

⚠️

NPI Profile Deactivated September 17, 2019

Record deactivated on September 17, 2019

✅

NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 13, 2017

Registered at 1229 MADISON ST SUITE # 1190, SEATTLE, WA 98104 (Tel: 2063222000)

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Updated Business Mailing Address February 13, 2017

Registered at 1229 MADISON ST SUITE # 1190, SEATTLE, WA 98104 (Tel: 2063222000)

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Provider Name / Credentials Updated February 13, 2017

Recorded as MAI PHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Surgery (License #MD00048340 in WA)

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NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2014

Registered at 7315 212TH ST SW, SUITE 103, EDMONDS, WA 980267610 (Tel: 2063222000)

📍

Updated Business Mailing Address May 13, 2014

Registered at 7315 212TH ST SW, SUITE 103, EDMONDS, WA 980267610 (Tel: 2063222000)

👤

Provider Name / Credentials Updated May 13, 2014

Recorded as MAI PHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2014

Surgery (License #MD00048340 in WA)

🟢

Initial NPI Registration & Enumeration May 09, 2007

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: 1447464730

Entity Type:

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

Enumeration Date: May 09, 2007

Last Update: May 13, 2014

Deactivation Date: September 17, 2019

Update or Correct Profile

Mailing Address

7315 212th St Sw, Suite 103

Edmonds, WA 980267610

Phone: 2063222000

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.