Active NPI 1346221686 Individual Practitioner Male Practitioner

Dr. Philip A Philips , MD

Surgery • Woonsocket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Philips, MD is a certified Surgery practicing in Woonsocket, RI. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Philips delivers high-quality medical care to the local community at 20 CUMBERLAND HILL RD.

Dr. Philips is affiliated with Prime Healthcare Services Landmark Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, new patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20 Cumberland Hill Rd
Suite 209

Woonsocket, RI 028954854

Telephone 4017662970

Fax 4017661523

Associated Practice Facility / Clinic

🏢 Cai Internal Medicine Facility NPI 1558409342

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Woonsocket, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +8.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Woonsocket, RI (160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Philips (32 Years) 32 Yrs

Woonsocket Specialty Average (23.3 Years) 23.3 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$533.59	$163.94

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	17	16	$587.45	$175.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$521.62	$169.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	39	13	$347.15	$58.25
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$215.13	$95.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$342.86	$205.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	45	23	$120.22	$62.23
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	43	12	$250.00	$90.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	14	$300.00	$210.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	35	19	$122.82	$62.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	11	$105.00	$75.02
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$138.41	$74.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$175.00	$112.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$300.00	$208.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	102	23	$240.55	$65.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	15	$105.00	$75.31
99213 Established patient office or other outpatient visit, typically 15 minutes	30	14	$130.00	$53.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$300.00	$209.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$175.00	$112.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	18	$130.00	$52.14
11042 Removal of skin and tissue, 20.0 sq cm or less	53	19	$332.00	$62.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	17	$105.00	$73.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$300.00	$207.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$300.00	$168.56
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$150.00	$75.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$175.00	$110.70

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD10158

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

9002791 (RI)

Commercial Insurance / Payer ID Blue Cross/blue Shield

0000002791 (RI)

Hospital & Practice Group Affiliations

Prime Healthcare Services Landmark Llc

116 Eddie Dowling Hwy, N Smithfield, RI 028967327

Phone: 4017692200

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Colette Whitby , MD

Surgery

NPI 1225096480

Doctor of Medicine (M.D.)

Dr. Alexander Philips , MD

Surgery

NPI 1528059193

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 09, 2011

Registered at 20 CUMBERLAND HILL RD, SUITE 209, WOONSOCKET, RI 028954854 (Tel: 4017662970)

📍

Updated Business Mailing Address April 09, 2011

Registered at 20 CUMBERLAND HILL RD, SUITE 209, WOONSOCKET, RI 028954854 (Tel: 4017662970)

👤

Provider Name / Credentials Updated April 09, 2011

Recorded as PHILIP PHILIPS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2011

Surgery (License #MD10158 in RI)

🟢

Initial NPI Registration & Enumeration November 11, 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: 1346221686

Entity Type:

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

Enumeration Date: November 11, 2005

Last Update: April 09, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

20 Cumberland Hill Rd, Suite 209

Woonsocket, RI 028954854

Phone: 4017662970

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.