DR. TIMOTHY MARTIN PHILLIPS (MD) – Pediatric Urology Physician, NPI 1992724595
Pediatric Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
861 UROLOGY in TX
Provider Addresses for DR. TIMOTHY MARTIN PHILLIPS (MD)
2200 BERGQUIST DRIVE, SUITE 1
ATTN: CREDENTIALS (CMC)
LACKLAND AFB, TX 78236
Phone: (210) 292-5755
Fax: (210) 292-7199
Type: Mailing
1465 S GRAND BLVD
SAINT LOUIS, MO 631041003
Phone: (210) 857-4174
Fax: (314) 268-4176
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $1,050.
Total Amount is formed as General ($1,050) + Research ($0) + Ownership ($0) = $1,050.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Teleflex LLC ($327).
Total Amount
$1,050
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,050
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $327 |
| Boston Scientific Corporation | $256 |
| KARL STORZ Endoscopy-America | $212 |
| Calyxo, Inc. | $142 |
| COLOPLAST CORP | $85 |
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: 2018-06-01
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 |
|---|---|---|---|---|
| I20110620000494 | I | Pediatric Medicine | TX | TBD |
| I20180601002177 | I | Urology | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | MO | |
| Pediatric Medicine, Hematology/Oncology | TN | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Pediatric Medicine | IL | |
| G A S T R O E N T E R O L O G Y | WV | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Infectious Disease | OH | |
| Physician Assistant | MO | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO |
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