DR. KEVIN D PHILLIPS (MD) – Diagnostic Radiology Physician, NPI 1285661926

DR. KEVIN D PHILLIPS (MD) is a healthcare provider. based in Rome, Georgia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 059312 (GA). The NPI Number for DR. KEVIN D PHILLIPS (MD) is 1285661926

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN D PHILLIPS (MD)
NPI
1285661926
Phone
(706) 291-2077
Address
1104 MARTHA BERRY BLVD NE
Enumeration Date
27 June 2006
Last Update Date
4 September 2007

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
7062910291
Graduation Year
2001 (25 years ago)
PAC ID
1355354804
Group Practice PAC ID
8921091695
Professional Enrollment ID
I20070712000032
Address ID
GA301651415RO501XXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for DR. KEVIN D PHILLIPS (MD)

  • Martha Berry Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30149, United States

    ROME, GA 301651612

    Phone: (706) 291-2077

    Fax: (706) 235-4177

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-08-11 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-09-18

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
I20070712000032IDiagnostic RadiologyGATBD
I20190918002899IDiagnostic RadiologyALTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,82625$0
71045X-ray of chest, 1 view477438$0
77067Screening mammography366366$0
71046X-ray of chest, 2 views364357$0
77063Screening 3d breast mammography343343$0
View full utilization report →

Insurance plans in this area (ZIP 30165)

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Provider's Procedures

DR. KEVIN D PHILLIPS (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYGA71250CT scan chest1211
DIAGNOSTIC RADIOLOGYGA73562X-ray of knee, 3 views1514
DIAGNOSTIC RADIOLOGYGA73630X-ray of foot, minimum of 3 views3627
DIAGNOSTIC RADIOLOGYGA74177CT scan of abdomen and pelvis with contrast135134

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: 8921091695View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyIL
Diagnostic RadiologyCO
Diagnostic RadiologyGA
Diagnostic RadiologyPA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyMI
Diagnostic RadiologyNC
Diagnostic RadiologyCO

Reviews

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Frequently asked questions

Is there an official ID for DR. KEVIN D PHILLIPS (MD) in U.S. healthcare records?
The official identifier for DR. KEVIN D PHILLIPS (MD) is NPI 1285661926.
Is there an active status for DR. KEVIN D PHILLIPS (MD)?
For scheduling context, DR. KEVIN D PHILLIPS (MD) is shown as active in the registry.
What clinical focus is listed for DR. KEVIN D PHILLIPS (MD)?
At a glance, DR. KEVIN D PHILLIPS (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KEVIN D PHILLIPS (MD)?
Travel planning: use Rome, Georgia as the reference point for DR. KEVIN D PHILLIPS (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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