DR. PHILIP R RENFROE (MD) – Family Medicine Physician, NPI 1023105707

DR. PHILIP R RENFROE (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01072499A (IN). The NPI Number for DR. PHILIP R RENFROE (MD) is 1023105707

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP R RENFROE (MD)
NPI
1023105707
Phone
(317) 576-1335
Address
8003 CASTLEWAY DR
Enumeration Date
6 October 2006
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
7656647492
Graduation Year
1986 (40 years ago)
PAC ID
2163581927
Group Practice PAC ID
3971599473
Professional Enrollment ID
I20140109001701
Address ID
IN469534827MA3710XMARI700
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

2,862 FAMILY PRACTICE in IN

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Provider Addresses for DR. PHILIP R RENFROE (MD)

  • 8003, Castleway Drive, Castleton, Indianapolis, Indiana, 46250, United States

    INDIANAPOLIS, IN 462501946

    Phone: (317) 576-1335

    Type: Mailing

  • 925, South Nebraska Street, Marion, Grant County, Indiana, 46953, United States

    MARION, IN 46953

    Phone: (765) 664-7492

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,492.

Total Amount is formed as General ($1,492) + Research ($0) + Ownership ($0) = $1,492.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($456).

Total Amount

$1,492

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,492

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: 2014-01-09

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
I20140109001701IFamily PracticeINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46250)

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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: 3971599473View full group profile
NameSpecialtyState
Mental Health CounselorIN
Nurse PractitionerIN
Mental Health CounselorIN
Nurse PractitionerIN
C H I R O P R A C T I CMO
Nurse PractitionerIN
Physician AssistantIN
Family PracticeIN
Nurse PractitionerMI
Physician AssistantIN

Reviews

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Frequently asked questions

Can I verify DR. PHILIP R RENFROE (MD) with an NPI only?
You can start verification with NPI 1023105707 for DR. PHILIP R RENFROE (MD), then check state licensing separately.
Is DR. PHILIP R RENFROE (MD) listed as active for patients and plans?
The listing shows DR. PHILIP R RENFROE (MD) as active in the NPI system.
What taxonomy line describes DR. PHILIP R RENFROE (MD)?
For research purposes, treat DR. PHILIP R RENFROE (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. PHILIP R RENFROE (MD) list a practice location?
Patients near Indianapolis, Indiana may find DR. PHILIP R RENFROE (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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