Active NPI 1538325394 Individual Practitioner Male Practitioner

Dr. Philip Mcphail , MD

Surgery • Sayre, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Mcphail, MD is a certified Surgery practicing in Sayre, PA. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Mcphail delivers high-quality medical care to the local community at 1 GUTHRIE SQ.

Dr. Mcphail is affiliated with Guthrie Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Guthrie Sq

Sayre, PA 188401625

Telephone 5708872725

Fax 5708874744

Associated Practice Facility / Clinic

🏢 Robert Packer Hospital Facility NPI 1083614382

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sayre, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -1.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

28 Specialists

Practicing in Sayre, PA (1976 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcphail (20 Years) 20 Yrs

Sayre Specialty Average (21.5 Years) 21.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	49	$185.48	$75.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$350.33	$124.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$115.64	$47.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$513.18	$165.32
99238 Hospital discharge day management, 30 minutes or less	15	15	$184.20	$77.05
99239 Hospital discharge day management, more than 30 minutes	14	14	$271.00	$108.93
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$258.50	$78.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	37	$105.50	$48.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	34	$175.36	$77.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$329.24	$127.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$485.00	$170.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	38	$100.89	$38.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	40	$163.43	$66.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$299.06	$132.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$428.61	$194.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	11	$229.60	$88.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	53	$150.76	$71.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	45	$99.19	$38.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	56	$286.00	$134.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	19	$217.00	$99.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$423.00	$197.96
99238 Hospital discharge day management, 30 minutes or less	19	19	$155.00	$71.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$423.00	$203.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	25	$153.35	$72.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	16	$217.00	$105.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	17	$102.00	$39.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$286.00	$138.83
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$212.00	$102.91
99238 Hospital discharge day management, 30 minutes or less	14	14	$158.43	$73.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	52	$156.05	$72.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	30	$109.17	$39.36
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$212.00	$101.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$281.75	$136.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$418.42	$201.91
99238 Hospital discharge day management, 30 minutes or less	20	20	$158.60	$72.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	16	$217.00	$103.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	38	$153.25	$71.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	37	$104.00	$37.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$410.47	$200.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$282.00	$135.09
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$212.00	$100.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	17	$220.81	$102.83
99238 Hospital discharge day management, 30 minutes or less	17	17	$164.88	$71.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	52	$150.00	$69.74
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$212.00	$99.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$423.00	$186.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	23	$217.00	$102.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	17	$97.00	$38.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$286.00	$134.26

Medical Specialties & State Licenses

CMS Verified: 2021-03-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD457109

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.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License PA MD457109

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License PA 457109

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Hospital & Practice Group Affiliations

Guthrie Medical Group Pc

1 Guthrie Sq, Sayre, PA 188401625

Phone: 5708873241

Guthrie Medical Group Pc

1 Guthrie Dr, Corning, NY 148303696

Phone: 6079737200

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. David Kashmer , MD

Surgery - Surgical Critical Care

NPI 1275748386

Doctor of Medicine (M.D.)

Laura Mitchell , FNP

Nurse Practitioner - Family

NPI 1326397787

Family Nurse Practitioner

Dr. Steven Casos , MD

Surgery - Trauma Surgery

NPI 1609849959

Doctor of Medicine (M.D.)

Dr. Heather Norman , MD

Surgery - Surgical Critical Care

NPI 1922332196

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Surgery (License #MD457109 in PA)

✅

NPI Profile Active September 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2016

Registered at 1 GUTHRIE SQ, SAYRE, PA 188401625 (Tel: 5708872725)

📍

Updated Business Mailing Address September 19, 2016

Registered at 1 GUTHRIE SQ, SAYRE, PA 188401625 (Tel: 5708885858)

👤

Provider Name / Credentials Updated September 19, 2016

Recorded as PHILIP MCPHAIL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2016

Surgery (License #MD457109 in PA)

🟢

Initial NPI Registration & Enumeration July 31, 2008

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: 1538325394

Entity Type:

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

Enumeration Date: July 31, 2008

Last Update: March 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Guthrie Sq

Sayre, PA 188401625

Phone: 5708885858

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.