Active NPI 1912988189 Individual Practitioner Male Practitioner

Dr. James Edward Phillips , MD

Orthopaedic Surgery • Wellesley, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Phillips, MD is a certified Orthopaedic Surgery practicing in Wellesley, MA. With approximately 30 years of clinical experience since graduating from Howard University College Of Medicine in 1996, Dr. Phillips delivers high-quality medical care to the local community at 230 WORCESTER ST.

Dr. Phillips is affiliated with Atrius Health Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

230 Worcester St

Wellesley, MA 024815420

Telephone 6176547111

Fax 6176547111

Associated Practice Facility / Clinic

🏢 Atrius Health, Inc. Facility NPI 1316070097

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Wellesley, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Wellesley, MA (746 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phillips (30 Years) 30 Yrs

Wellesley Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	34,816	211	$0.30	$0.13
20610 Aspiration and/or injection of fluid from large joint	463	244	$263.47	$82.43
99213 Established patient office or other outpatient visit, typically 15 minutes	304	272	$268.31	$99.17
J1030 Injection, methylprednisolone acetate, 40 mg	289	111	$17.00	$6.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	138	$349.54	$138.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$346.00	$120.90
27447 Replacement of knee joint, both sides of knee	110	103	$3885.00	$1368.45
27130 Replacement of thigh bone and hip joint with prosthesis	100	96	$3696.22	$1371.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$518.00	$181.34
36415 Insertion of needle into vein for collection of blood sample	15	15	$20.00	$8.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$170.21	$62.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	1,261	258	$17.00	$7.61
20610 Aspiration and/or injection of fluid from large joint	499	265	$263.21	$82.91
99213 Established patient office or other outpatient visit, typically 15 minutes	390	334	$264.26	$98.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$346.60	$123.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	104	$346.00	$140.27
27447 Replacement of knee joint, both sides of knee	97	94	$4165.36	$1438.85
27130 Replacement of thigh bone and hip joint with prosthesis	87	85	$3736.46	$1386.18
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	65	60	$57.14	$24.50
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	65	60	$209.00	$73.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$518.00	$182.27
J1040 Injection, methylprednisolone acetate, 80 mg	20	17	$31.00	$12.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$168.94	$62.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	1,242	260	$17.00	$6.44
20610 Aspiration and/or injection of fluid from large joint	499	271	$268.79	$85.67
99213 Established patient office or other outpatient visit, typically 15 minutes	450	379	$238.00	$101.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	215	215	$346.00	$124.99
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	118	111	$30.00	$24.67
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	118	111	$209.00	$74.01
27447 Replacement of knee joint, both sides of knee	78	75	$4134.04	$1457.17
27130 Replacement of thigh bone and hip joint with prosthesis	68	67	$3694.00	$1413.32
J1040 Injection, methylprednisolone acetate, 80 mg	46	35	$31.00	$11.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$148.00	$63.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	960	222	$17.00	$5.68
99213 Established patient office or other outpatient visit, typically 15 minutes	493	414	$218.80	$102.35
20610 Aspiration and/or injection of fluid from large joint	435	248	$266.25	$84.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	220	220	$320.70	$126.25
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	152	143	$209.00	$75.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	151	143	$30.00	$25.00
27447 Replacement of knee joint, both sides of knee	86	81	$4212.51	$1472.45
J1040 Injection, methylprednisolone acetate, 80 mg	80	56	$31.00	$10.64
27130 Replacement of thigh bone and hip joint with prosthesis	79	79	$3881.04	$1460.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$140.09	$64.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	714	173	$17.00	$6.05
99213 Established patient office or other outpatient visit, typically 15 minutes	367	327	$202.00	$84.48
20610 Aspiration and/or injection of fluid from large joint	273	179	$271.16	$83.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$300.00	$120.58
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	95	91	$209.00	$100.00
27130 Replacement of thigh bone and hip joint with prosthesis	71	69	$3746.03	$1542.70
27447 Replacement of knee joint, both sides of knee	69	65	$4405.82	$1606.56
99442 Telephone medical discussion with physician, 11-20 minutes	29	28	$100.97	$83.99
99441 Telephone medical discussion with physician, 5-10 minutes	15	14	$63.00	$51.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	706	156	$17.00	$6.28
99213 Established patient office or other outpatient visit, typically 15 minutes	455	394	$202.00	$81.85
20610 Aspiration and/or injection of fluid from large joint	337	161	$220.85	$72.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	145	145	$297.00	$119.78
27447 Replacement of knee joint, both sides of knee	99	94	$4238.18	$1568.54
27130 Replacement of thigh bone and hip joint with prosthesis	86	85	$3822.86	$1536.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	822	192	$15.01	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	498	412	$185.31	$80.63
20610 Aspiration and/or injection of fluid from large joint	373	195	$172.65	$74.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	151	151	$273.32	$119.29
27447 Replacement of knee joint, both sides of knee	92	86	$3747.20	$1575.64
27130 Replacement of thigh bone and hip joint with prosthesis	58	56	$3520.27	$1524.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$113.53	$49.14
36415 Insertion of needle into vein for collection of blood sample	12	11	$7.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	831	176	$8.04	$5.75
99213 Established patient office or other outpatient visit, typically 15 minutes	406	349	$139.93	$79.14
20610 Aspiration and/or injection of fluid from large joint	343	158	$129.69	$73.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$204.76	$117.27
27447 Replacement of knee joint, both sides of knee	95	95	$2828.37	$1535.39
27130 Replacement of thigh bone and hip joint with prosthesis	69	69	$2668.20	$1505.67
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	68	67	$9.15	$4.64
86140 Measurement C-reactive protein for detection of infection or inflammation	67	66	$13.24	$6.77
36415 Insertion of needle into vein for collection of blood sample	60	59	$6.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$86.92	$48.22

Medical Specialties & State Licenses

CMS Verified: 2021-02-24

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 215749

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0178071 (MA)

Hospital & Practice Group Affiliations

Atrius Health Inc

100 2nd Ave, Needham, MA 024942809

Phone: 7817264800

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Atrius Health Inc

36 Shops At 5 Way, Plymouth, MA 023602677

Phone: 7746083700

Practice Associates & Co-Workers

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

12 Associated Practitioners

D. Gilbert , PA-C

Physician Assistant

NPI 1033274436

Physician Assistant (Certified)

Dr. Andrew Chapman , MD

Orthopaedic Surgery

NPI 1144214776

Doctor of Medicine (M.D.)

Dr. Avi Grunin , MD

Pediatrics - Sports Medicine

NPI 1215195318

Doctor of Medicine (M.D.)

Dr. Louis Bley , MD

Orthopaedic Surgery

NPI 1285724526

Doctor of Medicine (M.D.)

Dr. Martin Dolan , MD

Orthopaedic Surgery

NPI 1326088386

Doctor of Medicine (M.D.)

Natalie Oswald , PA-C

Physician Assistant

NPI 1346656360

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 24, 2021

Registered at 230 WORCESTER ST, WELLESLEY, MA 024815420 (Tel: 6176547111)

📍

Updated Business Mailing Address February 24, 2021

Registered at 230 WORCESTER ST, WELLESLEY, MA 024815420 (Tel: 6176547111)

✅

NPI Profile Active June 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2011

Registered at 111 GROSSMAN DR, BRAINTREE, MA 021844997 (Tel: 7818492285)

📍

Updated Business Mailing Address June 14, 2011

Registered at 147 MILK ST, BOSTON, MA 021094806

👤

Provider Name / Credentials Updated June 14, 2011

Recorded as JAMES PHILLIPS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2011

Orthopaedic Surgery (License #215749 in MA)

🟢

Initial NPI Registration & Enumeration November 07, 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: 1912988189

Entity Type:

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

Enumeration Date: November 07, 2005

Last Update: February 24, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

230 Worcester St

Wellesley, MA 024815420

Phone: 6176547111

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.