Active NPI 1285617696 Individual Practitioner Male Practitioner

Dr. John A Phillip , MD

Surgery • Johnston, RI

Professional Overview & Biography Verified Profile Summary

Dr. John Phillip, MD is a certified Surgery practicing in Johnston, RI. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Phillip delivers high-quality medical care to the local community at 1524 ATWOOD AVE.

Dr. Phillip does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1524 Atwood Ave
Suite 245

Johnston, RI 029193228

Telephone 4014435559

Fax 4014435562

Associated Practice Facility / Clinic

🏢 Ophthalmic Surgeons, Ltd Facility NPI 1518952258

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Johnston, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +13.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Johnston, RI (160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phillip (41 Years) 41 Yrs

Johnston Specialty Average (28.0 Years) 28.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	89	47	$100.00	$83.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	22	$250.00	$111.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$200.00	$159.64
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1200.00	$236.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	23	$100.00	$85.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$200.00	$149.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	98	$151.00	$91.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	63	$224.00	$131.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$341.00	$166.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	20	$856.00	$90.64
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$817.00	$178.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1098.00	$251.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	129	$151.00	$94.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	54	$224.00	$132.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$341.00	$169.67
45378 Diagnostic exam of large bowel using a flexible endoscope	28	26	$817.00	$166.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$856.00	$99.12
45380 Biopsy of large bowel using an endoscope	15	14	$974.00	$171.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1098.00	$265.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	220	126	$151.00	$78.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	59	$224.00	$111.17
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$817.00	$180.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$856.00	$78.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$341.00	$173.30
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1098.00	$274.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	199	131	$151.00	$76.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	85	$224.00	$111.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$341.00	$164.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	33	$856.00	$106.44
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$817.00	$181.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	22	$1098.00	$263.32
45380 Biopsy of large bowel using an endoscope	17	17	$974.00	$204.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	151	$151.00	$73.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	81	$224.00	$109.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$341.00	$167.46
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$817.00	$191.81
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$209.00	$102.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1098.00	$267.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$856.00	$100.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	158	$151.00	$72.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	84	$224.00	$106.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$341.00	$157.37
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$817.00	$180.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$856.00	$97.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$419.00	$201.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$283.00	$127.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1098.00	$261.70
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	15	15	$206.00	$12.26

Medical Specialties & State Licenses

CMS Verified: 2023-12-20

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI RI08221

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

Medicaid State Provider ID

7002899 (RI)

Commercial Insurance / Payer ID State License #

RI08221 (RI)

Commercial Insurance / Payer ID United Healthcare #

1700281 (RI)

Commercial Insurance / Payer ID Blue Chip #

004509 (RI)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Judith Adewuyi

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013835214

William Andreoni , OPHTHALMOLOGIST

Ophthalmology

NPI 1013902816

Lisa Mellow , PT

Physical Therapist

NPI 1043269582

Physical Therapist

Dr. Kiley Toder , MD

Internal Medicine

NPI 1063640225

Doctor of Medicine (M.D.)

Dr. Anthony Testa , MD

Internal Medicine - Hematology & Oncology

NPI 1083772404

Doctor of Medicine (M.D.)

Jessica Dirocco , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1093374274

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address December 20, 2023

Registered at 1524 ATWOOD AVE STE 245, JOHNSTON, RI 029193228 (Tel: 4014435559)

✅

NPI Profile Active December 04, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2007

Registered at 1524 ATWOOD AVE, SUITE 245, JOHNSTON, RI 029193228 (Tel: 4015216080)

📍

Updated Business Mailing Address December 04, 2007

Registered at 1539 ATWOOD AVE, SUITE 201, JOHNSTON, RI 029193262 (Tel: 4015216310)

👤

Provider Name / Credentials Updated December 04, 2007

Recorded as JOHN PHILLIP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2007

Surgery (License #RI08221 in RI)

🟢

Initial NPI Registration & Enumeration November 21, 2005

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: 1285617696

Entity Type:

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

Enumeration Date: November 21, 2005

Last Update: December 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1524 Atwood Ave Ste 245

Johnston, RI 029193228

Phone: 4014435559

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.