Binh Pham, M.D.
NPI 1558371559 · Gastroenterology Physician · Austin, TX
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Binh Pham, M.D. is a Gastroenterology Physician provider in Austin, TX (NPI 1558371559).
Provider details
- NPI number
- 1558371559
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A96488 (CA)
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
19 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
717 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 | 193 | $89 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 126 | $234 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 92 | $89 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 81 | $92 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 70 | $126 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 340 | 130 |
| Omeprazole | 53 | 19 |
| Linaclotidebrand: Linzess | 53 | 15 |
| Peg3350/Sod Sul/Nacl/Kcl/Asb/Cbrand: Plenvu | 39 | 39 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 37 | 37 |
| Dexlansoprazolebrand: Dexlansoprazole Dr | 35 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,682 across 118 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
- 2006-08-09
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Frequently asked questions
- What is Binh Pham's NPI number?
- Binh Pham's National Provider Identifier (NPI) is 1558371559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Binh Pham's specialty?
- Binh Pham is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Binh Pham located?
- Binh Pham's practice location on file with NPPES is 7951 Shoal Creek Blvd Ste 200, Austin, TX 78757-7581.
- What is Binh Pham's phone number?
- The practice phone number listed in the NPPES registry for Binh Pham is (512) 454-5888.
- Does Binh Pham accept Medicare?
- Binh Pham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Binh Pham's NPI active?
- Yes — Binh Pham's NPI (1558371559) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.