Cong Phan, MD
NPI 1104454164 · Retina Specialist (Ophthalmology) Physician · Monroeville, PA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cong Phan, MD is a Retina Specialist (Ophthalmology) Physician provider in Monroeville, PA (NPI 1104454164).
Provider details
- NPI number
- 1104454164
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 36460 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
15 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Imaging of Retina92134 | 15 | $24 |
Typical Medicare-allowed amounts for these services range $24–$24 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 29 | 18 |
| Latanoprost | 20 | — |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 5303 Harry Hines Blvd6th FloorDallas, TX 75390Phone: (214) 645-2020
- 221 Cabela DrTriadelphia, WV 26059-1022Phone: (412) 349-8655Fax: (412) 349-8655
Registry dates
- Enumerated
- 2020-03-27
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Frequently asked questions
- What is Cong Phan's NPI number?
- Cong Phan's National Provider Identifier (NPI) is 1104454164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cong Phan's specialty?
- Cong Phan is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Cong Phan located?
- Cong Phan's practice location on file with NPPES is 300 Oxford Dr Ste 300, Monroeville, PA 15146-2357.
- What is Cong Phan's phone number?
- The practice phone number listed in the NPPES registry for Cong Phan is (412) 683-5300.
- Does Cong Phan accept Medicare?
- Cong Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cong Phan's NPI active?
- Yes — Cong Phan's NPI (1104454164) is active in the NPPES registry as of the last update on 2026-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.