DR. CODY JAMES PHILLIPS (D.O.) – Plastic Surgery Physician, NPI 1881018430

DR. CODY JAMES PHILLIPS (D.O.) is a healthcare provider. based in Fort sam houston, Texas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.O.. They hold a License No. 1405 (NE). The NPI Number for DR. CODY JAMES PHILLIPS (D.O.) is 1881018430

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. CODY JAMES PHILLIPS (D.O.)
NPI
1881018430
Phone
(210) 539-9582
Address
3551 ROGER BROOKE DR
Enumeration Date
18 February 2014
Last Update Date
3 July 2023

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
2109291548
Graduation Year
2014 (12 years ago)
PAC ID
7517268139
Group Practice PAC ID
7113384942
Professional Enrollment ID
I20250322000042
Address ID
TX782583920SA540XXDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

588 PLASTIC AND RECONSTRUCTIVE SURGERY in TX

Provider Addresses for DR. CODY JAMES PHILLIPS (D.O.)

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 539-9582

    Type: Mailing

  • 9040 FITZSIMMONS DR

    JOINT BASE LEWIS MCCHORD, WA 984311000

    Phone: (253) 968-0236

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2023-09-08 • Largest payer in this snapshot: ABBVIE INC. ($128).

Total Amount

$128

General + Research + Ownership

Payments

1

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$128
View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250322000042IPlastic And Reconstructive SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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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: 7113384942View full group profile
NameSpecialtyState
Physician AssistantTX
Plastic And Reconstructive SurgeryTX

Reviews

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Frequently asked questions

What is the standard ID for DR. CODY JAMES PHILLIPS (D.O.) in the U.S.?
In the U.S., DR. CODY JAMES PHILLIPS (D.O.) is identified by NPI 1881018430.
Is DR. CODY JAMES PHILLIPS (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. CODY JAMES PHILLIPS (D.O.) as active.
What does the directory say DR. CODY JAMES PHILLIPS (D.O.) does?
Insurance directories may phrase it differently, but here DR. CODY JAMES PHILLIPS (D.O.) maps to Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CODY JAMES PHILLIPS (D.O.)?
The directory associates DR. CODY JAMES PHILLIPS (D.O.) with Fort Sam Houston, Texas. 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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