JOHN A PHILLIP (MD) – Surgery Physician, NPI 1285617696
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
147 GENERAL SURGERY in RI
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Provider Addresses for JOHN A PHILLIP (MD)
Johnston Medical Center, 1539, Atwood Avenue, Johnston, Providence County, Rhode Island, 02919, United States
SUITE 201
JOHNSTON, RI 029193262
Phone: (401) 521-6310
Fax: (401) 861-9596
Type: Mailing
Atwood Medical Center, 1524, Atwood Avenue, Johnston, Providence County, Rhode Island, 02919, United States
SUITE 245
JOHNSTON, RI 029193228
Phone: (401) 443-5559
Fax: (401) 443-5562
Type: Location
1524 ATWOOD AVE STE 245
JOHNSTON, RI 029193228
Phone: (401) 443-5559
Fax: (401) 443-5562
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: 2007-01-22
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 |
|---|---|---|---|---|
| I20070122000561 | I | General Surgery | RI | 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 | 36 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 02919)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | RI | 45378 | Diagnostic examination of large bowel using an endoscope | 17 | 16 |
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