NPPES file of Aug 9, 2026

Cong Thanh Phan, MD

Retina Specialist (Ophthalmology) Physician · Monroeville, PA

Cong Thanh Phan, MD is a retina specialist (ophthalmology) physician with a practice address in Monroeville, Pennsylvania, and NPI 1104454164, issued on Mar 27, 2020. Check the license (Pennsylvania MD493792, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104454164
Name
Cong Thanh Phan
Credential
MD
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License numbers
MD493792 PA
V0115 TX
36460 WV
Self-reported in NPPES; status is on the state search
Practice location
300 Oxford Dr Ste 300, Monroeville, PA 15146
Phone
(412) 683-5300
Enumerated
Mar 27, 2020
Record last updated
May 11, 2026
Fax
(412) 349-8655
Medicare enrollment
Enrolled (PECOS I20240529002667); accepts Medicare assignment
Medical or professional school
University Of Texas Medical School At Houston, 2020
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 300 Oxford Dr Ste 300

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jared Knickelbein, MD/PHDRetina Specialist (Ophthalmology) Physician1528357043
  2. Deepam Rusia, M.D.Retina Specialist (Ophthalmology) Physician1386932069
  3. Mark Seraly, MDOphthalmology Physician1205396918
  4. Shripaad Shukla, M.D.Retina Specialist (Ophthalmology) Physician1467727735

Verify Cong Thanh Phan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD493792
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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82% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

111 Medicare Part D claims for 37 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 37% of claims.

  1. Cong Phan111
  2. Specialty average620

Most prescribed

  1. Prednisolone Acetate29 claims
  2. Latanoprost20 claims
  3. Dorzolamide-Timolol11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. University OF Texas Southwestern Medical Center AT DallasDallas, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Cong Thanh Phan among 56 retina specialist (ophthalmology) physician records in Pennsylvania

Cong Thanh Phan, MD is one of 56 retina specialist (ophthalmology) physician records with a practice address in Pennsylvania. 95% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 86% of them.

  • NPI issued2020 · 86% of these records are older, 11% newer
  • In a Medicare fileYes · 95% of these records are
  • In the CMS Doctors and Clinicians fileYes · 89% of these records are
  • Graduated2020 · median 2005 among the 50 with a school on file
  • Record last updated2026 · 36% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Pennsylvania

There are 56 retina specialist (ophthalmology) physician records in Pennsylvania.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Robert Bergren, MDMonroeville, PA 151461467407130
  2. Jared Knickelbein, MD/PHDMonroeville, PA 151461528357043
  3. Deepam Rusia, M.D.Monroeville, PA 151461386932069
  4. Shripaad Shukla, M.D.Monroeville, PA 151461467727735
  5. Avni Vyas, MDMonroeville, PA 151461730309584
  6. Jonathan Noonan, M.D.West Mifflin, PA 151221518654391
  7. Michael Lewen, MDPittsburgh, PA 152121861830119
  8. Jay Chhablani, MDPittsburgh, PA 152131528623477

Common questions

What is Cong Thanh Phan, MD's NPI number?

Cong Thanh Phan, MD's National Provider Identifier (NPI) is 1104454164, issued on Mar 27, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Cong Thanh Phan, MD located?

The NPPES record lists a practice address at 300 Oxford Dr Ste 300, Monroeville, PA, 15146. Phone: (412) 683-5300. Providers update this record themselves, so call before visiting.

How can I verify Cong Thanh Phan, MD's license?

NPPES lists Pennsylvania license number MD493792, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Cong Thanh Phan, MD prescribe under Medicare Part D?

In 2024, Cong Thanh Phan, MD had 111 Medicare Part D claims for 37 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.