Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Phung Dinh Phan, DO

Individual provider Military Health Care Provider · NPI 1043567407

Dr. Phung Dinh Phan, DO is registered under Family Practice in Lakeland, Florida. Graduated from Lake Erie Col of Osteopathic Medicine, Bradenton in 2012, 14 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Nebraska.

Years since qualifying
14
Trained at
Lake Erie Col of Osteopathic Medicine, Bradenton
Licensed in
FL, NE
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1625 Shepherd Rd
Lakeland, FL 33811-2122
Phone: (863) 284-1626
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • Unit 28130, Building 475, Apo, AE 09114 — (314) 590-3176
  • 3030 Harden Blvd, Lakeland, FL 33803-7952 — (863) 284-5000
  • 4710 S Florida Ave, Lakeland, FL 33813-2165 — (863) 284-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS20770 (FL)
Military Health Care Provider Taxonomy 171000000X · Licence 1141 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1141 (NE)

Record details

NPI number1043567407
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 4, 2012
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2012 (14 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal or shaving of skin growth 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 70 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Lakeland Regional Health Systems Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 503 clinicians in the practice; 12 are shown here.

Other providers in Lakeland