CARLTON PHILLIPS – MOHS-Micrographic Surgery Physician, NPI 1083974539

CARLTON PHILLIPS is a healthcare provider. based in Birmingham, Alabama. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold a License No. 33033 (AL). The NPI Number for CARLTON PHILLIPS is 1083974539

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CARLTON PHILLIPS
NPI
1083974539
Phone
(205) 583-8040
Address
1720 2ND AVE S # EFH500
Enumeration Date
17 May 2012
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2059330987
Graduation Year
2012 (14 years ago)
PAC ID
9537309018
Group Practice PAC ID
9335043033
Professional Enrollment ID
I20170822002374
Address ID
AL352034050BI1927XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

27 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in AL

Provider Addresses for CARLTON PHILLIPS

  • 1720 2ND AVE S # EFH500

    BIRMINGHAM, AL 352940004

    Phone: (205) 583-8040

    Type: Mailing

  • 2000 6TH AVE S

    BIRMINGHAM, AL 35294

    Phone: (205) 583-8040

    Type: Location

  • 2100 16TH AVE S

    BIRMINGHAM, AL 352055021

    Phone: (205) 933-0987

    Fax: (205) 930-1758

    Type: Mailing

  • 2100 16TH AVE S STE 201

    BIRMINGHAM, AL 352055067

    Phone: (205) 933-0987

    Fax: (205) 930-1758

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Ortho Dermatologics, a division of Bausch Health US, LLC ($39).

Total Amount

$219

General + Research + Ownership

Payments

13

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170822002374IMicrographic Dermatologic Surgery (Mds)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks799539$0
17003Destruction of precancer skin growth, 2-14 growths512121$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks437254$0
Q4229Cogenex amniotic membrane, per square centimeter31215$0
Q4180Revita, per square centimeter26815$0
View full utilization report →

Insurance plans in this area (ZIP 35294)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335043033View full group profile
NameSpecialtyState
Internal MedicineAL
Physician AssistantAL
Physician AssistantAL
D E R M A T O L O G YAL
D E R M A T O L O G YAL
Physician AssistantAL
Physician AssistantAL
D E R M A T O L O G YAL
D E R M A T O L O G YAL
D E R M A T O L O G YAL

Reviews

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Frequently asked questions

What unique ID ties claims to CARLTON PHILLIPS?
NPI 1083974539 is assigned to CARLTON PHILLIPS under the national enumeration system.
Is CARLTON PHILLIPS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CARLTON PHILLIPS?
The page reflects MOHS-Micrographic Surgery Physician for CARLTON PHILLIPS. Clinical services aligned with this taxonomy classification.
Does CARLTON PHILLIPS practice in Alabama?
You will see Birmingham, Alabama on file for CARLTON PHILLIPS alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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