Active NPI 1073538153 Individual Practitioner Male Practitioner

Dr. Paul S Phillips , MD

Ophthalmology • Flemington, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Phillips, MD is a certified Ophthalmology practicing in Flemington, NJ. With approximately 39 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 1987, Dr. Phillips delivers high-quality medical care to the local community at 6B MINNEAKONING RD.

Dr. Phillips is affiliated with Paul Phillips Eye And Surgery Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6b Minneakoning Rd

Flemington, NJ 088225799

Telephone 9088247144

Fax 9089683239

Associated Practice Facility / Clinic

🏢 Paul Phillips Eye & Surgery Center Pc Facility NPI 1720193733

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Flemington, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +17.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Flemington, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phillips (39 Years) 39 Yrs

Flemington Specialty Average (21.3 Years) 21.3 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
92014 Established patient complete exam of visual system	784	700	$355.00	$139.39
92136 Measurement of corneal curvature and depth of eye	336	191	$275.00	$40.98
66984 Removal of cataract with insertion of lens	294	162	$3311.00	$586.23
92012 Established patient problem focused exam of visual system	216	185	$245.51	$98.98
92134 Imaging of retina	197	170	$157.00	$43.06
92250 Photography of the retina	178	173	$245.00	$40.86
92286 Imaging of front third of eye using a special microscope	175	173	$400.00	$43.32
66821 Removal of recurring cataract in lens capsule using a laser	123	85	$1371.95	$364.86
92004 New patient complete exam of visual system	102	102	$425.00	$164.61
92083 Exam of visual field with extended testing	62	58	$225.00	$71.04
92133 Imaging of optic nerve	52	50	$157.00	$39.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	50	$217.75	$136.37
66982 Complex removal of cataract with insertion of prosthetic lens	45	31	$3500.00	$779.31
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$155.00	$99.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$325.00	$182.56
65855 Laser repair to improve eye fluid flow	12	11	$1753.00	$268.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	750	683	$355.00	$144.07
92136 Measurement of corneal curvature and depth of eye	400	231	$275.69	$41.11
66984 Removal of cataract with insertion of lens	352	194	$3320.41	$602.97
92012 Established patient problem focused exam of visual system	321	249	$245.00	$102.91
92286 Imaging of front third of eye using a special microscope	206	205	$400.00	$44.38
92134 Imaging of retina	192	158	$157.00	$44.38
92250 Photography of the retina	163	159	$245.00	$42.58
92004 New patient complete exam of visual system	120	120	$425.00	$170.03
66821 Removal of recurring cataract in lens capsule using a laser	84	61	$1366.07	$382.70
66982 Complex removal of cataract with insertion of prosthetic lens	72	45	$3500.00	$828.80
92133 Imaging of optic nerve	52	47	$157.00	$41.36
92083 Exam of visual field with extended testing	49	47	$225.00	$72.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$215.00	$119.38
65855 Laser repair to improve eye fluid flow	13	13	$1753.00	$287.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	685	644	$355.00	$144.65
92012 Established patient problem focused exam of visual system	581	437	$245.00	$102.63
92136 Measurement of corneal curvature and depth of eye	380	242	$275.00	$47.65
66984 Removal of cataract with insertion of lens	363	207	$3311.00	$600.37
92286 Imaging of front third of eye using a special microscope	217	215	$400.00	$40.93
92250 Photography of the retina	215	204	$245.00	$42.36
92134 Imaging of retina	213	182	$157.00	$45.02
92004 New patient complete exam of visual system	135	135	$425.00	$169.43
66821 Removal of recurring cataract in lens capsule using a laser	100	68	$1350.00	$380.97
92133 Imaging of optic nerve	90	89	$157.00	$41.57
92083 Exam of visual field with extended testing	64	60	$225.00	$72.80
66982 Complex removal of cataract with insertion of prosthetic lens	57	38	$3500.00	$820.23
65855 Laser repair to improve eye fluid flow	26	22	$1753.00	$277.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$215.00	$116.90
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$155.00	$96.23
76514 Ultrasound scan of cornea to determine thickness	11	11	$45.00	$12.25
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$155.00	$31.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	896	817	$355.00	$147.25
92012 Established patient problem focused exam of visual system	627	480	$244.74	$104.53
92136 Measurement of corneal curvature and depth of eye	384	246	$275.00	$53.72
66984 Removal of cataract with insertion of lens	328	181	$3321.09	$617.52
92250 Photography of the retina	243	230	$245.00	$45.55
92286 Imaging of front third of eye using a special microscope	235	231	$400.00	$41.70
92134 Imaging of retina	218	184	$157.00	$46.24
92004 New patient complete exam of visual system	182	182	$425.00	$173.44
92133 Imaging of optic nerve	104	104	$157.00	$43.06
66821 Removal of recurring cataract in lens capsule using a laser	96	66	$1364.06	$392.42
66982 Complex removal of cataract with insertion of prosthetic lens	81	49	$3500.00	$853.09
92083 Exam of visual field with extended testing	63	63	$225.00	$74.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$220.00	$134.82
65855 Laser repair to improve eye fluid flow	24	22	$1826.04	$291.23
92002 New patient problem focused exam of visual system	22	22	$235.00	$100.81
92020 Examination of cornea and iris using lens device and slit lamp	20	18	$155.00	$32.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$83.33	$58.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$311.33	$189.54
76514 Ultrasound scan of cornea to determine thickness	12	12	$45.00	$12.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	709	468	$244.86	$102.15
92014 Established patient complete exam of visual system	630	602	$355.11	$145.20
92136 Measurement of corneal curvature and depth of eye	303	194	$275.00	$59.24
66984 Removal of cataract with insertion of lens	268	153	$3311.00	$614.45
92250 Photography of the retina	258	246	$245.00	$52.46
92134 Imaging of retina	173	143	$157.00	$45.98
92286 Imaging of front third of eye using a special microscope	150	150	$400.00	$41.53
92004 New patient complete exam of visual system	118	118	$425.00	$172.76
66821 Removal of recurring cataract in lens capsule using a laser	77	63	$1350.00	$380.28
66982 Complex removal of cataract with insertion of prosthetic lens	64	43	$3500.00	$855.34
92133 Imaging of optic nerve	64	64	$157.00	$42.91
92083 Exam of visual field with extended testing	61	59	$225.00	$74.30
65855 Laser repair to improve eye fluid flow	34	23	$1753.00	$284.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$80.00	$47.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	808	582	$243.04	$100.25
92014 Established patient complete exam of visual system	686	653	$352.03	$143.09
92136 Measurement of corneal curvature and depth of eye	347	212	$271.68	$62.89
66984 Removal of cataract with insertion of lens	275	157	$3311.00	$711.18
92250 Photography of the retina	265	254	$242.36	$58.05
92134 Imaging of retina	207	160	$154.97	$45.35
92004 New patient complete exam of visual system	140	140	$418.71	$169.39
66821 Removal of recurring cataract in lens capsule using a laser	108	83	$1304.15	$370.07
92286 Imaging of front third of eye using a special microscope	86	85	$395.35	$40.25
66982 Complex removal of cataract with insertion of prosthetic lens	76	49	$3500.00	$876.60
92083 Exam of visual field with extended testing	73	69	$222.95	$72.91
92133 Imaging of optic nerve	55	54	$156.27	$41.82
65855 Laser repair to improve eye fluid flow	28	24	$1720.86	$279.28
92002 New patient problem focused exam of visual system	21	21	$233.10	$95.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$80.00	$48.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	738	595	$225.00	$98.67
92014 Established patient complete exam of visual system	696	663	$324.39	$141.65
92136 Measurement of corneal curvature and depth of eye	347	223	$243.00	$67.66
66984 Removal of cataract with insertion of lens	309	178	$3311.00	$706.11
92250 Photography of the retina	202	195	$210.00	$65.10
92134 Imaging of retina	178	154	$137.00	$45.49
92004 New patient complete exam of visual system	123	123	$385.00	$169.36
66821 Removal of recurring cataract in lens capsule using a laser	103	83	$1076.00	$371.61
92083 Exam of visual field with extended testing	93	85	$210.00	$73.43
92286 Imaging of front third of eye using a special microscope	87	87	$400.00	$39.79
92133 Imaging of optic nerve	80	80	$137.00	$42.44
66982 Complex removal of cataract with insertion of prosthetic lens	76	55	$3500.00	$878.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	37	$80.00	$47.46
65855 Laser repair to improve eye fluid flow	31	27	$1573.00	$276.00
92002 New patient problem focused exam of visual system	17	17	$215.00	$94.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	747	729	$312.00	$133.98
92012 Established patient problem focused exam of visual system	670	538	$217.40	$92.53
92136 Measurement of corneal curvature and depth of eye	345	232	$236.25	$74.47
66984 Removal of cataract with insertion of lens	322	186	$3311.00	$682.61
92134 Imaging of retina	222	200	$137.00	$42.99
92250 Photography of the retina	198	192	$210.00	$72.64
92004 New patient complete exam of visual system	157	157	$372.20	$161.28
92286 Imaging of front third of eye using a special microscope	126	123	$400.00	$38.54
92083 Exam of visual field with extended testing	110	105	$210.00	$70.44
92133 Imaging of optic nerve	89	88	$137.00	$40.55
99213 Established patient office or other outpatient visit, typically 15 minutes	67	66	$115.37	$75.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	53	$77.54	$46.14
66982 Complex removal of cataract with insertion of prosthetic lens	61	41	$3500.00	$844.10
66821 Removal of recurring cataract in lens capsule using a laser	57	47	$1076.00	$358.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$169.50	$102.49
65855 Laser repair to improve eye fluid flow	24	21	$1573.00	$269.46

Medical Specialties & State Licenses

CMS Verified: 2024-05-02

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA05639800

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6459501 (NJ)

Hospital & Practice Group Affiliations

Paul Phillips Eye And Surgery Center Pc

6 B Minneakoning Rd, Flemington, NJ 088225760

Phone: 9088247144

Paul Phillips Eye And Surgery Center Pc

64 Walmart Plaza, Clinton, NJ 08809

Phone: 9087354100

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Sarah Lapicki , OD

Optometrist

NPI 1033665740

Doctor of Optometry

Dr. Ryan Hoffman , OD

Ophthalmology

NPI 1134645310

Doctor of Optometry

Joan Lee

Ophthalmology

NPI 1639494289

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 17, 2024

Registered at 6B MINNEAKONING RD, FLEMINGTON, NJ 088225799 (Tel: 9088247144)

📍

Updated Practice Location August 20, 2020

Registered at 6B MINNEAKONING RD STE 304, FLEMINGTON, NJ 088225799 (Tel: 9088247144)

📍

Updated Business Mailing Address August 20, 2020

Registered at 6B MINNEAKONING RD, FLEMINGTON, NJ 088225799 (Tel: 9088247144)

✅

NPI Profile Active July 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2011

Registered at 1100 WESCOTT DR, SUITE 304, FLEMINGTON, NJ 088224600 (Tel: 9087886472)

📍

Updated Business Mailing Address July 06, 2011

Registered at 1100 WESCOTT DR, SUITE 304, FLEMINGTON, NJ 088224600 (Tel: 9082377036)

👤

Provider Name / Credentials Updated July 06, 2011

Recorded as PAUL PHILLIPS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2011

Ophthalmology (License #25MA05639800 in NJ)

🟢

Initial NPI Registration & Enumeration July 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: 1073538153

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: June 17, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6b Minneakoning Rd

Flemington, NJ 088225799

Phone: 9088247144

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.