Deactivated NPI 1891791299 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Vincent Phillips , MD

Surgery • Bakersfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005

NPI Deactivation Date March 21, 2006

Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Phillips, MD was a registered Surgery practicing in Bakersfield, CA. Throughout an active medical career spanning 1 years, Dr. Phillips provided care at the practice location at 3838 SAN DIMAS ST until profile deactivation on 2006-03-21.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, repair of trapped groin hernia patient age 5 years or older. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3838 San Dimas St
Ste B-231

Bakersfield, CA 933012284

Telephone 6616650505

Fax 6616657844

Associated Practice Facility / Clinic

🏢 Golden Empire Cardiology, A Medical Group, Inc Facility NPI 1104878735

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bakersfield, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.7 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

47 Specialists

Practicing in Bakersfield, CA (3346 Statewide)

Telehealth Adoption Rate

2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$280.71	$173.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$222.00	$132.91
49507 Repair of trapped groin hernia patient age 5 years or older	24	22	$772.92	$596.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$332.14	$223.22
49568 Placement of mesh to repair incisional or abdominal hernia	19	17	$600.00	$272.12
49561 Repair of trapped incisional or abdominal hernia	14	14	$1200.00	$924.63
47562 Removal of gallbladder using an endoscope	13	13	$2300.00	$630.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$200.00	$171.96
49507 Repair of trapped groin hernia patient age 5 years or older	20	19	$1271.25	$612.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$153.57	$114.34
47562 Removal of gallbladder using an endoscope	11	11	$2300.00	$626.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$200.00	$164.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$125.00	$108.26
49507 Repair of trapped groin hernia patient age 5 years or older	20	20	$1300.00	$576.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$150.00	$108.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$200.00	$159.52
49507 Repair of trapped groin hernia patient age 5 years or older	22	21	$1300.00	$558.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$125.00	$105.32
47562 Removal of gallbladder using an endoscope	17	17	$2300.00	$551.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$150.00	$105.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$200.00	$152.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$125.00	$104.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$150.00	$103.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$250.00	$197.56
49507 Repair of trapped groin hernia patient age 5 years or older	16	15	$1300.00	$526.13
47562 Removal of gallbladder using an endoscope	13	13	$2300.00	$549.51
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$80.00	$70.61

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA C37044

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License CA C37044

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

GR0062760 (CA)

Commercial Insurance / Payer ID Medicare Railroad

020000590 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Dr. David Horovitz , MD

Urology

NPI 1013309947

Doctor of Medicine (M.D.)

Dr. Charles Wrobel , MD

Neurological Surgery

NPI 1033115266

Doctor of Medicine (M.D.)

Dr. Oluwatosin Fawibe , MD

Surgery

NPI 1043715733

Doctor of Medicine (M.D.)

Pamela Smith , RN, MSN, FNP

Nurse Practitioner - Family

NPI 1114221785

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner

Edward Taylor

Surgery

NPI 1154356475

Dr. Arpit Patel , MD

Surgery

NPI 1154664837

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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Updated Practice Location February 25, 2015

Registered at 3838 SAN DIMAS ST, STE B-231, BAKERSFIELD, CA 933012284 (Tel: 6616650505)

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Updated Business Mailing Address February 25, 2015

Registered at 3838 SAN DIMAS ST, STE B-231, BAKERSFIELD, CA 933012284 (Tel: 6616650505)

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Provider Name / Credentials Updated February 25, 2015

Recorded as CHARLES PHILLIPS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2015

Surgery (License #C37044 in CA)

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NPI Profile Reactivated March 27, 2006

Record officially reactivated for active practice on March 27, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891791299

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2005

Last Update: February 25, 2015

Deactivation Date: March 21, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3838 San Dimas St, Ste B-231

Bakersfield, CA 933012284

Phone: 6616650505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.