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Active NPI 1730317868 Individual Practitioner Male Practitioner

Dr. Jacob W Phillips , MD

General Practice • North Chili, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Phillips, MD is a certified General Practice practicing in North Chili, NY. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Phillips delivers high-quality medical care to the local community at 4201 BUFFALO ROAD, SUITE 1.

Dr. Phillips is affiliated with Churchville-Chili Family Medicine Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4201 Buffalo Road, Suite 1

North Chili, NY 145141256

Telephone 5855945995
Fax 5855945425
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in North Chili, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs Matches City Avg
City Avg: 17.0 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
1 Specialists

Practicing in North Chili, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phillips (17 Years) 17 Yrs
North Chili Specialty Average (17.0 Years) 17.0 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
130 44 $25.00 $15.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
100 39 $180.40 $121.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
13 13 $250.00 $123.16
99497 Advance care planning, first 30 minutes
12 12 $117.24 $77.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $245.00 $171.08

Medical Specialties & State Licenses

CMS Verified: 2023-02-28
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 320916

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Churchville-Chili Family Medicine Llc

4201 Buffalo Rd, North Chili, NY 145141256

Phone: 5855945995

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Henry Paszko , MD

Family Medicine

NPI 1043260730

Doctor of Medicine (M.D.)

Dr. Jonathan Hager , MD

Internal Medicine

NPI 1114941846

Doctor of Medicine (M.D.)

NPI 1346286614

Doctor of Medicine (M.D.)

NPI 1457641557

Doctor of Medicine (M.D.)

Rachel Forberg , FNP

Nurse Practitioner - Family

NPI 1497791271

Family Nurse Practitioner

Robert Lawler , RPA-C

Physician Assistant

NPI 1528495777

RPAC

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

General Practice (License #320916 in NY)

📍
Updated Practice Location February 02, 2023

Registered at 4201 BUFFALO ROAD, SUITE 1, NORTH CHILI, NY 145141256 (Tel: 5855945995)

📍
Updated Business Mailing Address February 02, 2023

Registered at PO BOX 505, NORTH CHILI, NY 145140505 (Tel: 5855945995)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2023

Pediatrics (License #320916 in NY)

NPI Profile Active June 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2009

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 8649869242)

📍
Updated Business Mailing Address June 26, 2009

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 8649869242)

👤
Provider Name / Credentials Updated June 26, 2009

Recorded as JACOB PHILLIPS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2009

Pediatrics (License #003646 in GA)

🟢
Initial NPI Registration & Enumeration June 26, 2009

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: 1730317868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2009
Last Update: February 28, 2023
Sole Proprietor: No

Mailing Address

Po Box 505

North Chili, NY 145140505

Phone: 5855945995

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.