SAMUEL P PHILLIPS (M.D.) – Orthopaedic Surgery Physician, NPI 1033150610
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
206 ORTHOPEDIC SURGERY in NE
Provider Addresses for SAMUEL P PHILLIPS (M.D.)
8005 FARNAM DR STE 305
OMAHA, NE 681143426
Phone: (402) 390-4111
Fax: (402) 390-4115
Type: Mailing
17030, Lakeside Hills Plaza, Millard, Omaha, Douglas County, Nebraska, 68130, United States
SUITE 200
OMAHA, NE 681302396
Phone: (402) 399-8550
Fax: (402) 399-8455
Type: Mailing
CHI Health Clinic Plastic & Reconstructive Surgery (CUMC-Bergan Mercy), 7710, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
SUITE 224
OMAHA, NE 681242372
Phone: (402) 399-8550
Fax: (402) 399-8455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($21).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Heron Therapeutics, Inc. | $21 |
| DePuy Synthes Sales 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: 2020-12-11
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20040324000270 | I | Orthopedic Surgery | NE | TBD |
| I20201211002529 | I | Orthopedic Surgery | IA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,088 | 128 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 279 | 153 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 142 | $0 |
| 73564 | X-ray of knee, 4 or more views | 136 | 114 | $0 |
| 73502 | X-ray of hip, 2-3 views | 127 | 96 | $0 |
Insurance plans in this area (ZIP 68114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | NE | 73562 | X-ray of knee, 3 views | 57 | 53 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Nurse Practitioner | IA | |
| Physician Assistant | NE | |
| Orthopedic Surgery, Orthopedic Surgery, Hand Surgery | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Physician Assistant | NE | |
| A N E S T H E S I O L O G Y | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE |
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