Donald Pham, M.D.
NPI 1437319993 · Gastroenterology Physician · Lawrenceville, GA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donald Pham, M.D. is a Gastroenterology Physician provider in Lawrenceville, GA (NPI 1437319993).
Provider details
- NPI number
- 1437319993
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 071551 (GA)
Specialties & taxonomies
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
294 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 99 | $125 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 57 | $90 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 35 | $103 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 28 | $247 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 28 | $164 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 480 | 162 |
| Pantoprazole Sodium | 240 | 67 |
| Dicyclomine Hcl | 188 | 81 |
| Tenofovir Alafenamidebrand: Vemlidy | 131 | 14 |
| Linaclotidebrand: Linzess | 77 | 30 |
| Tenofovir Disoproxil Fumarate | 62 | — |
| Amitriptyline Hcl | 57 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$450 across 23 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
- 2008-06-09
- Last updated
- 2018-10-03
Frequently asked questions
- What is Donald Pham's NPI number?
- Donald Pham's National Provider Identifier (NPI) is 1437319993, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Pham's specialty?
- Donald Pham is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Donald Pham located?
- Donald Pham's practice location on file with NPPES is 301 Philip Blvd Ste a, Lawrenceville, GA 30046.
- What is Donald Pham's phone number?
- The practice phone number listed in the NPPES registry for Donald Pham is (770) 822-5560.
- Does Donald Pham accept Medicare?
- Donald Pham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donald Pham's NPI active?
- Yes — Donald Pham's NPI (1437319993) is active in the NPPES registry as of the last update on 2018-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.