DR. PHILLIP A NYE (M.D.) – Sleep Medicine (Internal Medicine) Physician, NPI 1558373464
Sleep Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
222 SLEEP MEDICINE in FL
Provider Addresses for DR. PHILLIP A NYE (M.D.)
255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012218
Phone: (517) 787-6440
Fax: (517) 787-4146
Type: Mailing
3500 US Highway 1
Vero Beach, FL 329604511
Phone: (772) 299-1404
Type: Location
1485 37TH ST STE 111
VERO BEACH, FL 329606518
Phone: (772) 226-6855
Type: Mailing
1460 CLUB DR
VERO BEACH, FL 329632313
Phone: (772) 226-6855
Type: Mailing
1555, Indian River Boulevard, Vero Beach, Indian River County, Florida, 32960, United States
B-120
VERO BEACH, FL 329607103
Phone: (772) 778-9621
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $647.
Total Amount is formed as General ($647) + Research ($0) + Ownership ($0) = $647.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($493).
Total Amount
$647
General + Research + Ownership
Payments
14
Total payment records
General Amount
$647
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-01-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070409000114 | I | Sleep Medicine | FL | TBD |
| I20200123000423 | I | Anesthesiology | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 308 | 211 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 163 | 163 | $0 |
| 99091 | Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days | 156 | 125 | $0 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 128 | 125 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 83 | 82 | $0 |
Insurance plans in this area (ZIP 49201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | FL | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 17 | 17 |
| ANESTHESIOLOGY | FL | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 30 | 30 |
| ANESTHESIOLOGY | FL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 25 | 25 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | FL | |
| Nurse Practitioner | FL | |
| Occupational Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Orthopedic Surgery, Hand Surgery | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery | FL | |
| Orthopedic Surgery, Sports Medicine | LA | |
| Orthopedic Surgery | FL |
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