Tony Pham, M.D.
NPI 1245419225 · Psychiatry Physician · Houston, TX
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tony Pham, M.D. is a Psychiatry Physician provider in Houston, TX (NPI 1245419225).
Provider details
- NPI number
- 1245419225
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M5883 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
680 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 243 | $91 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 229 | $129 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 97 | $72 |
| Psychotherapy With Evaluation and Management Visit, 45 Minutes90836 | 63 | $91 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 48 | $182 |
Typical Medicare-allowed amounts for these services range $72–$182 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 56 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 278 | 51 |
| Clonazepam | 252 | 44 |
| Duloxetine Hcl | 231 | 52 |
| Risperidone | 180 | 26 |
| Trazodone Hcl | 164 | 40 |
| Buspirone Hcl | 140 | 27 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 127 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$281 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-26
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Frequently asked questions
- What is Tony Pham's NPI number?
- Tony Pham's National Provider Identifier (NPI) is 1245419225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tony Pham's specialty?
- Tony Pham is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Tony Pham located?
- Tony Pham's practice location on file with NPPES is 1315 St Joseph Pkwy 1307, Houston, TX 77002-8236.
- What is Tony Pham's phone number?
- The practice phone number listed in the NPPES registry for Tony Pham is (713) 376-3459.
- Does Tony Pham accept Medicare?
- Tony Pham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tony Pham's NPI active?
- Yes — Tony Pham's NPI (1245419225) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.