Active NPI 1982013694 Individual Practitioner Male Practitioner

Dr. John Mcphillips , MD

Pediatrics • Johnstown, NY

Professional Overview & Biography Verified Profile Summary

Dr. John Mcphillips, MD is a registered healthcare professional specializing in Pediatrics in Johnstown, NY. Practice services are available at 279 MALONEY RD under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

279 Maloney Rd

Johnstown, NY 120953769

Telephone 5187362094

Fax 5187361052

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Johnstown, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Johnstown, NY (6127 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$200.00	$81.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$300.00	$100.36
81002 Urinalysis, manual test	15	15	$40.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$200.00	$82.55
81002 Urinalysis, manual test	32	32	$40.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$300.00	$101.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$344.00	$117.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	54	49	$99.07	$21.17
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$200.00	$84.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$293.33	$103.76
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	19	18	$85.53	$30.65
81002 Urinalysis, manual test	17	17	$40.00	$3.44
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	12	$61.54	$35.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	63	$100.00	$21.09
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$200.00	$85.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$300.00	$104.46
81002 Urinalysis, manual test	32	32	$40.00	$3.48
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	15	$66.67	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$200.00	$69.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$300.00	$99.91
99201 New patient office or other outpatient visit, typically 10 minutes	29	29	$130.00	$42.42
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$200.00	$70.52
81002 Urinalysis, manual test	20	20	$40.00	$3.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$175.00	$42.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	56	$200.00	$67.98
81002 Urinalysis, manual test	25	25	$40.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$300.00	$98.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	56	$200.00	$64.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$300.00	$95.96
81002 Urinalysis, manual test	17	16	$40.00	$3.41
94640 Inhalation treatment for airway obstruction or sputum production	15	15	$90.00	$16.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$152.88	$65.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$257.41	$96.12
81002 Urinalysis, manual test	17	17	$30.59	$3.43

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 131979

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2014

Registered at 279 MALONEY RD, JOHNSTOWN, NY 120953769 (Tel: 5187362094)

📍

Updated Business Mailing Address August 06, 2014

Registered at 279 MALONEY RD, JOHNSTOWN, NY 120953769 (Tel: 5187362094)

👤

Provider Name / Credentials Updated August 06, 2014

Recorded as JOHN MCPHILLIPS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2014

Pediatrics (License #131979 in NY)

🟢

Initial NPI Registration & Enumeration August 06, 2014

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: 1982013694

Entity Type:

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

Enumeration Date: August 06, 2014

Last Update: August 06, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

279 Maloney Rd

Johnstown, NY 120953769

Phone: 5187362094

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.