Active NPI 1891745311 Individual Practitioner Male Practitioner

Dr. Phillip Frantzis , MD

Surgery • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Frantzis, MD is a certified Surgery practicing in Jackson, MI. With approximately 40 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1986, Dr. Frantzis delivers high-quality medical care to the local community at 950 W MONROE ST.

Dr. Frantzis accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

950 W Monroe St
Ste 200

Jackson, MI 492022079

Telephone 5177883434

Associated Practice Facility / Clinic

🏢 Hope Network Facility NPI 1326572447

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jackson, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

13 Specialists

Practicing in Jackson, MI (1479 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frantzis (40 Years) 40 Yrs

Jackson Specialty Average (28.3 Years) 28.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	101	81	$119.01	$86.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$153.00	$98.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$214.62	$159.41
19301 Partial removal of breast	13	11	$1300.00	$669.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$280.00	$210.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	72	$106.14	$86.00
19301 Partial removal of breast	18	15	$1300.00	$609.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$153.89	$107.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$148.13	$121.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$210.00	$159.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$260.00	$210.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	82	$105.00	$87.97
19301 Partial removal of breast	20	17	$1300.00	$646.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$145.00	$125.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$210.00	$163.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$150.00	$109.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$260.00	$216.65
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$800.00	$247.68
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1400.00	$315.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	77	$105.00	$89.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$210.00	$160.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$260.00	$218.48
19301 Partial removal of breast	26	26	$1300.00	$639.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$150.00	$106.75
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$800.00	$220.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$145.00	$127.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	77	$104.19	$73.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$208.53	$159.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	26	$144.06	$102.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$150.00	$105.62
19301 Partial removal of breast	21	17	$1300.00	$672.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$257.33	$205.46
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$800.00	$222.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	97	$92.00	$71.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$140.00	$103.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$200.00	$160.36
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$90.00	$73.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$239.47	$193.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$130.00	$105.51
49505 Repair of groin hernia (5 years or older)	14	14	$1303.57	$526.16
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$800.00	$247.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	105	$92.00	$68.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$140.00	$101.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$200.00	$155.12
19301 Partial removal of breast	25	23	$1100.00	$542.28
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	24	24	$833.33	$215.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$130.00	$99.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$235.00	$195.36
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$90.00	$70.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	96	$92.00	$66.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$200.00	$150.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$130.00	$99.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$140.00	$100.39
19301 Partial removal of breast	25	22	$1100.00	$552.38
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$800.00	$218.61
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$90.00	$67.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$235.00	$192.35
49505 Repair of groin hernia (5 years or older)	12	12	$1354.17	$477.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301407420

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physicians Health Plan

1720009 (MI)

Commercial Insurance / Payer ID Blue Cross

PF407420 (MI)

Commercial Insurance / Payer ID Blue Cross

0203803232 (MI)

Practice Associates & Co-Workers

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

10 Associated Practitioners

Ingrid Sekhon

Social Worker - Clinical

NPI 1013278969

Catherine Kattula-Klink , LMSW

Social Worker - Clinical

NPI 1215178306

Licensed Master Social Worker

Sheryl Smith , LMSW

Social Worker - Clinical

NPI 1235498593

Licensed Master Social Worker

Dr. David Rubin , PhD

Psychologist - Clinical

NPI 1336157551

Doctor of Philosophy (Ph.D.)

Summer Washington

Counselor - Professional

NPI 1407418569

Anu Gupta

Case Manager/Care Coordinator

NPI 1467009035

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 10, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2007

Registered at 950 W MONROE ST, STE 200, JACKSON, MI 492022079 (Tel: 5177883434)

📍

Updated Business Mailing Address July 10, 2007

Registered at 950 W MONROE ST, STE 200, JACKSON, MI 492022079 (Tel: 5177883434)

👤

Provider Name / Credentials Updated July 10, 2007

Recorded as PHILLIP FRANTZIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2007

Surgery (License #4301407420 in MI)

🟢

Initial NPI Registration & Enumeration May 12, 2006

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: 1891745311

Entity Type:

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

Enumeration Date: May 12, 2006

Last Update: July 10, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

950 W Monroe St, Ste 200

Jackson, MI 492022079

Phone: 5177883434

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.