DR. JIM JASON PHILLIPS MD NPI 1013086040
Family Medicine in Carthage, TX

About DR. JIM JASON PHILLIPS MD

Jim Phillips is a primary care provider established in Carthage, Texas and his medical specialization is Family Medicine with more than 26 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 1997. The NPI number of Jim Phillips is 1013086040 and was assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number K5658 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1013086040
Provider NameDR. JIM JASON PHILLIPS MD
Location Address1410 W PANOLA ST CARTHAGE, TX 75633
Location Phone(903) 693-9375
Mailing AddressPO BOX 519 CARTHAGE, TX 75633
GenderMale
NPI Entity TypeIndividual
Medical School NameTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year1997
Is Sole Proprietor?Yes
Enumeration Date11-06-2006
Last Update Date06-30-2010

A primary care provider (PCP) like Dr. Jim Jason Phillips Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Jim Phillips is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jim Phillips is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.K5658
License StateTX
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. JIM JASON PHILLIPS MD
1410 W PANOLA ST
CARTHAGE, TX
ZIP 75633
Phone: (903) 693-9375
Fax: (903) 694-4654

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Mailing Address

DR. JIM JASON PHILLIPS MD
PO BOX 519
CARTHAGE, TX
ZIP 75633
Phone: (903) 693-9375
Fax: (903) 694-4654


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4981875002
PECOS Enrollment IDI20110922000105
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 210Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 43Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8774B6MEDICARE PIN (08)TX
G92256MEDICARE UPIN (02)TX

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013086040
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081208
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 2 + 0 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013086040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467620401JASON PHILLIPS M D P A
Organization
Family Medicine1410 W PANOLA ST
CARTHAGE, TX 75633
(903) 693-9375

Frequently Asked Questions

What is Dr. Jim Phillips MD NPI number?

The NPI number assigned to Dr. Jim Phillips MD is 1013086040, registered as an "individual" on November 06, 2006

Where is Dr. Jim Phillips MD located?

The provider is located at 1410 W Panola St Carthage, Tx 75633 and the phone number is (903) 693-9375

Which is Dr. Jim Phillips MD specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Jim Phillips MD have?

The provider has more than 26 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 1997.

What insurance does Dr. Jim Phillips MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Jim Phillips MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Jim Phillips MD?

Medicare beneficiaries should expect a typical cost of $87.36 with an average copayment of $21.84 for new patient appointments. Established patients should expect a typical charge of $101.2 and an average copayment of 25.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Jim Phillips MD?

The most common procedures or services performed by this practitioner are: Injection, dexamethasone sodium phosphate, 1mg and Injection beneath the skin or into muscle for therapy, diagnosis, or prevention.

How do I update my NPI information?

The NPI record of Dr. Jim Phillips MD was last updated on November 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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