DERRICK D. PHILLIPS (M.D.) – Orthopaedic Surgery Physician, NPI 1396702965

DERRICK D. PHILLIPS (M.D.) is a healthcare provider. based in Warner robins, Georgia. specializing in Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 029514 (GA). The NPI Number for DERRICK D. PHILLIPS (M.D.) is 1396702965

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK D. PHILLIPS (M.D.)
NPI
1396702965
Phone
(478) 953-4563
Address
3051 WATSON BLVD
Enumeration Date
27 April 2006
Last Update Date
13 August 2012

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4789534563
Graduation Year
1981 (45 years ago)
PAC ID
2668499013
Group Practice PAC ID
5092703835
Professional Enrollment ID
I20051026000070
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DERRICK D. PHILLIPS (M.D.)

  • 3051, Watson Boulevard, Warner Robins, Houston County, Georgia, 31093, United States

    SUITE 525

    WARNER ROBINS, GA 310938536

    Phone: (478) 953-4563

    Fax: (478) 953-4683

    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: 2005-10-26

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
I20051026000070IOrthopedic SurgeryGATBD

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
J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg10,08315$0
99213Established patient office or other outpatient visit, 20-29 minutes626296$0
J1030Injection, methylprednisolone acetate, 40 mg446211$0
20610Aspiration and/or injection of fluid from large joint279143$0
73564X-ray of knee, 4 or more views10096$0
View full utilization report →

Insurance plans in this area (ZIP 31093)

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Provider's Procedures

DERRICK D. PHILLIPS (M.D.) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYGA73630X-ray of foot, minimum of 3 views2923
ORTHOPEDIC SURGERYGA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10012

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: 5092703835View full group profile
NameSpecialtyState
-GA
-GA
Physician AssistantGA
Physical Therapist In Private PracticeGA
Physical Medicine And Rehabilitation, Orthopedic SurgeryGA
-GA
Physical Therapist In Private PracticeGA
-GA
Orthopedic SurgeryGA
Physician AssistantGA

Reviews

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Frequently asked questions

What identifier follows DERRICK D. PHILLIPS (M.D.) across health systems?
The NPI 1396702965 uniquely identifies DERRICK D. PHILLIPS (M.D.) in U.S. healthcare data.
Quick check: is DERRICK D. PHILLIPS (M.D.) active?
Public NPPES data shows DERRICK D. PHILLIPS (M.D.) with an active NPI status right now.
Which specialty label fits DERRICK D. PHILLIPS (M.D.)?
NPPES ties DERRICK D. PHILLIPS (M.D.) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DERRICK D. PHILLIPS (M.D.)?
DERRICK D. PHILLIPS (M.D.) shows a connection to Warner Robins, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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