DR. HAROLD EUGENE JR. PHILLIPS (M.D.) – Family Medicine Physician, NPI 1124026869

DR. HAROLD EUGENE JR. PHILLIPS (M.D.) is a healthcare provider. based in Mystic, Connecticut. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. ME146710 (FL). The NPI Number for DR. HAROLD EUGENE JR. PHILLIPS (M.D.) is 1124026869

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAROLD EUGENE JR. PHILLIPS (M.D.)
NPI
1124026869
Phone
(860) 536-6442
Address
3 HERON RD
Enumeration Date
7 July 2005
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
8633144466
Graduation Year
1995 (31 years ago)
PAC ID
7113947409
Group Practice PAC ID
0749232445
Professional Enrollment ID
I20201111001572
Address ID
FL338721986SE4200XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

822 FAMILY PRACTICE in CT

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Provider Addresses for DR. HAROLD EUGENE JR. PHILLIPS (M.D.)

  • 3, Heron Road, Mystic, Stonington, Southeastern Connecticut Planning Region, Connecticut, 06378, United States

    MYSTIC, CT 063553253

    Phone: (860) 536-6442

    Fax: (860) 536-6442

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060724000286IFamily PracticeCTTBD
I20201111001572IFamily PracticeFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes558205$0
99239Hospital discharge day management, more than 30 minutes199183$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15772$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8381$0
99291Critical care, first 30-74 minutes3824$0
View full utilization report →

Insurance plans in this area (ZIP 06355)

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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: 0749232445View full group profile
NameSpecialtyState
-FL
-FL
-FL
-FL
General SurgeryNJ
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
-FL
O T O L A R Y N G O L O G YFL
Vascular SurgeryFL
-FL

Reviews

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Frequently asked questions

Where can patients find DR. HAROLD EUGENE JR. PHILLIPS (M.D.)'s NPI?
You can confirm DR. HAROLD EUGENE JR. PHILLIPS (M.D.) with NPI 1124026869; it appears in the national provider directory.
Is DR. HAROLD EUGENE JR. PHILLIPS (M.D.)'s NPI currently valid?
The extract we use shows DR. HAROLD EUGENE JR. PHILLIPS (M.D.) as active.
What field does DR. HAROLD EUGENE JR. PHILLIPS (M.D.) work in?
You can think of DR. HAROLD EUGENE JR. PHILLIPS (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. HAROLD EUGENE JR. PHILLIPS (M.D.)?
The snapshot lists Mystic, Connecticut for DR. HAROLD EUGENE JR. PHILLIPS (M.D.); download NPPES for the complete set.
How can I contact DR. HAROLD EUGENE JR. PHILLIPS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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