Trevor Phan, MD
NPI 1104943356ActiveIndividual· Internal Medicine· Fallon, NV
Internal Medicine (MD) in Fallon, Nevada, licensed in NV and CA, with an NPI issued in March 2007. 399 Medicare patients in 2024, $162,912 paid; nearly all of their 425 Part D prescriptions were generic (91%). Lists Banner Churchill Community Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1104943356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Feb 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 12765 | NV |
| Internal Medicine | 207R00000X | 111505 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA); Practitioner - Internal Medicine (CO); Practitioner - Internal Medicine (NV); Practitioner - Internal Medicine (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 399 |
|---|---|
| Services billed | 1,568 across 15 procedure codes |
| Paid by Medicare | $162,912 |
Part D prescriptions in 2024
| Prescriptions (claims) | 425 · 433 30-day fills |
|---|---|
| Patients | 159 |
| Total drug cost | $19,623 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Internal Medicine |
Hospital affiliations
- Banner Churchill Community HospitalFallon, NV
- Cobre Valley Regional Medical CenterGlobe, AZ
- Delta County Memorial HospitalDelta, CO
- Kadlec Regional Medical CenterRichland, WA
- Lourdes Medical CenterPasco, WA
Other facilities
- Lourdes Medical CenterInpatient rehabilitation facility · Pasco, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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