Dr. Douglas M. Phan, MD

  • San Jose, CA
  • Otolaryngologist
NPI1013073766PAC ID2163694258
Medicare services, 2024
781
Medicare patients, 2024
321
Part D claims, 2024
432
Industry payments
$366
Affiliated sites
3
Practice address
5065 South State Road 7 Suite 101, Lake Worth, FL 33449
Practice phone
Call (561) 273-2340
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Advanced Surgery Center of Palm Beach

Surgery Center - Medicare-Certified · Lake Worth, Florida

See all 6 affiliations

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Dr. Douglas M. Phan is an otolaryngologist in San Jose, California

Dr. Phan practices at Advanced Surgery Center of Palm Beach in Lake Worth, Florida.

Dr. Phan's NPI, 1013073766, was assigned on December 28, 2006. Dr. Phan graduated from Stanford University School Of Medicine in 1982. Dr. Phan's California license number on file is G51181.

NPI and contact details
Medicare PAC ID
2163694258
NPI enumeration date
December 28, 2006
NPI status
Active
Practice phone
(561) 273-2340
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
70
Medical school graduation
1982

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Dr. Douglas M. Phan practices in Lake Worth and San Jose

Dr. Phan's primary practice is Advanced Surgery Center of Palm Beach, at 5065 South State Road 7 Suite 101, Lake Worth, FL 33449. The practice phone is (561) 273-2340. Dr. Phan also practices at Advanced Surgery Center, 235 O'connor Dr, San Jose, CA 95128.

  • Advanced Surgery Center of Palm BeachPrimary
    5065 South State Road 7 Suite 101, Lake Worth, FL 33449Phone(561) 273-2340
  • Advanced Surgery Center
    235 O'connor Dr, San Jose, CA 95128 · Santa Clara CountyPhone(408) 279-0791

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data

Dr. Douglas M. Phan is affiliated with 3 sites of care and 3 medical groups

Dr. Phan's primary practice is Advanced Surgery Center of Palm Beach in Lake Worth, Florida. The medical group on file is San Jose Medical Group. Dmand AI also links Dr. Phan to 2 more group practices and clinics and 2 medical groups, each named with a free account.

See all 6 affiliations for Dr. Phan

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Douglas M. Phan's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Phan practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Advanced Surgery Center of Palm BeachAvailable with a free account
+2 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Douglas M. Phan is one of 1,107 otolaryngologists in California

Otolaryngology is Dr. Phan's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Phan is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery. Dmand AI has Dr. Phan's licenses on file in 2 states: California and Illinois.

Specialties and state licenses

  • Otolaryngology, CaliforniaPrimaryLicense G51181 · 1983 to 2025 · taxonomy 207Y00000X
  • Illinois license2011 to 2017

Clinical focus

Dmand AI lists chronic ear infection, chronic nasal allergies, chronic sinusitis, ear eustachian tube disorders, ear infection, endoscopic sinus surgery, hearing loss and impairment and larynx and vocal cord disease among the conditions Dr. Phan treats.

Otolaryngologists near Dr. Phan

Counts of otolaryngologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Douglas M. Phan billed Medicare for 781 services in 2024

CMS data shows 781 Medicare services from Dr. Phan across 5 procedure codes in 2024, for 321 Medicare patients. Medicare paid $73,545 for them. Every service was in an office.

Medicare services, 2024781
Medicare patients321
Paid by Medicare$73,545
Procedure codes5

Dr. Phan's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 5442024: 546No change
Tests and treatments
2023: 1032024: 17166%
Surgery
2023: 242024: 64167%

Dr. Phan compared with the California median for otolaryngologists, 2024

  • Dr. Phan
  • California median
Medicare services
781vs 66617% above
Medicare patients
321vs 2968% above
Part D claims
391vs 1183.3 times

Medians across 1,045 otolaryngologists in California with Dmand AI profiles that report each measure.

Dr. Phan's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Phan

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Douglas M. Phan treated 321 Medicare patients in 2024, average age 77

CMS counts 321 Medicare patients who saw Dr. Phan in 2024. The largest group is 75 to 84, with 124 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 88% are also on Medicaid. Their average risk score is 1.14, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Phan's median patient age at 68, with 56% women.

Medicare patients, 2024321
Average age77
Average risk score1.14
Also on Medicaid88%

Dr. Phan's Medicare patients by age, 2024

Dr. Phan's Medicare patients by sex, 2024

  • Women18056%
  • Men14144%

Chronic conditions among Dr. Phan's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes46%
  4. Arthritis36%
  5. Osteoporosis27%
  6. Chronic kidney disease24%
  7. Ischemic heart disease21%
  8. Asthma13%

Share of Medicare patients with each condition. A patient can have several.

Dr. Phan's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 68

Patient panel by sex, all payers

  • Women56%
  • Men43%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Douglas M. Phan wrote 432 Medicare Part D claims in 2024

In 2024, Dr. Phan wrote 432 Medicare Part D claims for 261 patients. 100% of them were for generic drugs. CMS names the drug for 391 of them, across 11 drugs with 11 or more claims each, at $6,234 in total drug cost. In 2023, CMS named 314 claims across 10 drugs.

Part D claims, 2024432
Drugs named by CMS11
Total drug cost$6,234
Part D patients261

Dr. Phan's Part D claims by kind of drug, 2024

  • Generic431 claims100%
  • Brand-name and other1 claims0%

Dr. Phan's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Phan's Part D claims, 2024

  • Antibiotics34%146 of 432 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 3142024: 39125%

Drugs named by CMS: 11 in 2024, 10 in 2023.

See all prescribing by Dr. Phan

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Douglas M. Phan scored 0 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 0 out of 100 for Dr. Phan for performance year 2024, reported individually.

Dr. Phan's MIPS scores, performance year 2024

  • 0of 100Final score
  • 0of 100Quality
  • 0of 100Improvement Activities
  • 0of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Douglas M. Phan received $366 in industry payments from 2016 to 2025

CMS Open Payments shows 13 general payments to Dr. Phan from 8 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. GlaxoSmithKline, LLC. paid the most, $156.

General payments to Dr. Phan by program year, 2016 to 2025

Companies that paid Dr. Phan the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Phan

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Douglas M. Phan graduated from Stanford University School Of Medicine

Dr. Phan graduated from Stanford University School Of Medicine in 1982.

  1. Medical schoolStanford University School Of Medicine
  2. Board certified in otolaryngologyAmerican Board of Otolaryngology - Head and Neck Surgery

Source: Dmand AI Professional Profile Data

Dr. Douglas M. Phan accepts plans from 15 insurance carriers

Dr. Phan is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Elevance
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +7 more carriersWith a free account

Plan types Dr. Phan accepts, by number of carriers

  1. PPO9
  2. Medicare8
  3. HMO6
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Douglas M. Phan's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Douglas M. Phan

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Douglas M. Phan's NPI number?

Dr. Douglas M. Phan's NPI number is 1013073766. It was assigned on December 28, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Douglas M. Phan?

Dr. Douglas M. Phan is an otolaryngologist in San Jose, California. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).

Where does Dr. Douglas M. Phan practice?

Dr. Phan practices at 5065 South State Road 7 Suite 101, Lake Worth, FL 33449. Dr. Phan also practices at 235 O'connor Dr, San Jose, CA 95128. Dr. Phan's primary practice is Advanced Surgery Center of Palm Beach in Lake Worth, Florida. Dmand AI also links Dr. Phan to 2 group practices and clinics and 2 medical groups.

What is Dr. Douglas M. Phan's office phone number?

The practice phone on file for Dr. Phan is (561) 273-2340.

What is Dr. Douglas M. Phan's medical license number?

Dr. Phan's California license number on file is G51181, one of the licenses on file in 2 states.

Which states has Dr. Douglas M. Phan been licensed in?

Dmand AI has state licenses on file for Dr. Phan in California (1983 to 2025) and Illinois (2011 to 2017).

What medical group is Dr. Douglas M. Phan part of?

Dr. Phan is linked to San Jose Medical Group. Dmand AI links Dr. Phan to 2 more medical groups.

Does Dr. Douglas M. Phan accept Medicare?

Yes. CMS data shows Dr. Phan billed Medicare for 781 services in 2024.

What is Dr. Douglas M. Phan's MIPS score?

Dr. Phan's MIPS final score for performance year 2024 is 0 out of 100, reported individually.

How many Medicare patients does Dr. Douglas M. Phan see?

CMS counts 321 Medicare patients who saw Dr. Phan in 2024, with an average age of 77.

Show 7 more questionsShow fewer questions

Is Dr. Douglas M. Phan board certified?

Yes. Dr. Phan is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery.

What services does Dr. Douglas M. Phan bill to Medicare?

In 2024, Dr. Phan's most billed Medicare services were office visit, established patient (99214), office visit, new patient (99204) and ear, nose and throat service (92504).

Where did Dr. Douglas M. Phan go to medical school?

Dr. Phan graduated from Stanford University School Of Medicine in 1982.

What drugs does Dr. Douglas M. Phan prescribe most?

In 2024 Medicare Part D data, Dr. Phan's most prescribed drugs by claims were Amoxicillin, Ofloxacin and Omeprazole.

Has Dr. Douglas M. Phan received payments from drug or device companies?

CMS Open Payments shows $366 in general payments to Dr. Phan from 8 companies from 2016 to 2025. The largest total came from GlaxoSmithKline, LLC.

How long has Dr. Douglas M. Phan been practicing?

Dr. Phan graduated from medical school in 1982, 44 years ago.

What insurance does Dr. Douglas M. Phan accept?

Dr. Phan is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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