CHARLES J PHILLIPS (MD) – Family Medicine Physician, NPI 1093775702

CHARLES J PHILLIPS (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 36396 (MN). The NPI Number for CHARLES J PHILLIPS (MD) is 1093775702

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES J PHILLIPS (MD)
NPI
1093775702
Phone
(612) 262-4813
Address
PO BOX 43
Enumeration Date
25 March 2006
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3206825225
Graduation Year
1992 (34 years ago)
PAC ID
9830230499
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20100105000683
Address ID
MN553021109AN440XXEXXX400

Contacts

Secure Messaging
cphillips91437@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

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Provider Addresses for CHARLES J PHILLIPS (MD)

  • PO BOX 43

    MR 10809

    MINNEAPOLIS, MN 554400043

    Phone: (612) 262-4813

    Fax: (612) 262-4194

    Type: Mailing

  • 701, Dellwood Street South, Cambridge, Isanti County, Minnesota, 55008, United States

    CAMBRIDGE, MN 550081920

    Phone: (763) 689-7700

    Fax: (763) 689-7941

    Type: Location

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: 2010-01-05

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
I20100105000683IFamily PracticeMNTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15986$0
99239Hospital discharge day management, more than 30 minutes10190$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5234$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2927$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 55440)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What identifier follows CHARLES J PHILLIPS (MD) across health systems?
The NPI 1093775702 uniquely identifies CHARLES J PHILLIPS (MD) in U.S. healthcare data.
Is CHARLES J PHILLIPS (MD) currently accepting referrals based on NPI status?
Registry metadata lists CHARLES J PHILLIPS (MD) as active.
What type of care does CHARLES J PHILLIPS (MD) provide?
CHARLES J PHILLIPS (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to CHARLES J PHILLIPS (MD)?
The directory associates CHARLES J PHILLIPS (MD) with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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