JAMES EDWARD III PHILLIPS (MD) – Orthopaedic Surgery Physician, NPI 1912988189
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
948 ORTHOPEDIC SURGERY in MA
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Provider Addresses for JAMES EDWARD III PHILLIPS (MD)
Harvard Vanguard, 147, Milk Street, Financial District, Downtown Boston, Boston, Suffolk County, Massachusetts, 02109, United States
BOSTON, MA 021094806
Phone:
Type: Mailing
111, Grossman Drive, The Marketplace at Braintree, Braintree, Norfolk County, Massachusetts, 02184, United States
BRAINTREE, MA 021844997
Phone: (781) 849-2285
Fax: (781) 849-2451
Type: Location
230 WORCESTER ST
WELLESLEY, MA 024815420
Phone: (617) 654-7111
Fax: (617) 654-7111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $8,916.
Total Amount is formed as General ($8,916) + Research ($0) + Ownership ($0) = $8,916.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Smith+Nephew, Inc. ($8,513).
Total Amount
$8,916
General + Research + Ownership
Payments
12
Total payment records
General Amount
$8,916
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $8,513 |
| Zimmer Biomet Holdings, Inc. | $330 |
| Lilly USA, LLC | $59 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $14 |
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: 2005-08-31
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 |
|---|---|---|---|---|
| I20050831000058 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1,261 | 258 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 499 | 265 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 390 | 334 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 156 | 156 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 104 | $0 |
Insurance plans in this area (ZIP 02109)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Family Practice | MA | |
| D E R M A T O L O G Y | MA | |
| Emergency Medicine | MA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Internal Medicine | MA | |
| O T O L A R Y N G O L O G Y | MA |
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