PHILIP D WITKOP (MD) – Family Medicine Physician, NPI 1770550782

PHILIP D WITKOP (MD) is a healthcare provider. based in Cedar rapids, Iowa. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036-098344 (IL). The NPI Number for PHILIP D WITKOP (MD) is 1770550782

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP D WITKOP (MD)
NPI
1770550782
Phone
(319) 666-4224
Address
2431 WILEY BLVD SW # 1013
Enumeration Date
8 March 2006
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178543141
Graduation Year
1996 (30 years ago)
PAC ID
5092783027
Group Practice PAC ID
4688003957
Professional Enrollment ID
I20040917000963
Address ID
IL626263710CA20733STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

483 EMERGENCY MEDICINE in IA

Provider Addresses for PHILIP D WITKOP (MD)

  • 2431 WILEY BLVD SW # 1013

    CEDAR RAPIDS, IA 524046003

    Phone: (319) 666-4224

    Fax: (877) 384-3106

    Type: Mailing

  • 1300 E 19TH ST

    ATLANTIC, IA 500222887

    Phone: (319) 666-4224

    Fax: (877) 384-3106

    Type: Location

  • 1227, Ivywood Drive, West Grand Place, Springfield, Sangamon County, Illinois, 62704, United States

    SPRINGFIELD, IL 627044392

    Phone: (217) 415-5678

    Type: Mailing

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: 2004-09-17

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
I20040917000963IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making138131$0
99284Emergency department visit with moderate level of medical decision making9186$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8776$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 52404)

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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: 4688003957View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineLA
Family PracticeIL
-IL
Internal Medicine, Preventive Medicine, Emergency MedicineIL
Internal Medicine, Emergency MedicineIL
Emergency Medicine, Internal MedicineIL
-TX
-MD
Family PracticeIL

Reviews

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Frequently asked questions

How is PHILIP D WITKOP (MD) identified in CMS data?
CMS-hosted NPPES data lists PHILIP D WITKOP (MD) with NPI 1770550782.
Is PHILIP D WITKOP (MD) listed as active for patients and plans?
The listing shows PHILIP D WITKOP (MD) as active in the NPI system.
What is PHILIP D WITKOP (MD)'s primary classification?
Family Medicine Physician is the headline specialty for PHILIP D WITKOP (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect PHILIP D WITKOP (MD) on a map?
Expect Cedar Rapids, Iowa as a primary anchor for PHILIP D WITKOP (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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