DR. SCOTT BRENT PHILLIPS (MD) – Dermatology Physician, NPI 1053369967
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for DR. SCOTT BRENT PHILLIPS (MD)
Outer Drive East, 400, East Randolph Street, New East Side, Chicago, Cook County, Illinois, 60601, United States
CHICAGO, IL 606015037
Phone:
Type: Mailing
1431-1443, North Claremont Avenue, Wicker Park, West Town, Chicago, Cook County, Illinois, 60622, United States
CHICAGO, IL 606221702
Phone: (312) 633-5857
Type: Location
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-06-13 • Largest payer in this snapshot: PFIZER INC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $15 |
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: 2008-09-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080922000450 | I | Dermatology | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 906 | 274 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 210 | 101 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 143 | 143 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 107 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 52 | $0 |
Insurance plans in this area (ZIP 60601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IL | 17003 | Destruction of 2-14 skin growths | 128 | 29 |
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