MELISSA SUSAN PHILLIPS MD
NPI 1013120815
Surgery in Knoxville, TN

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1934 ALCOA HWY STE D285, KNOXVILLE, TN 37920(865) 305-9620(865) 525-3460 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Susan Phillips Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA SUSAN PHILLIPS MD (NPI 1013120815) is an individual surgery provider in Knoxville, Tennessee, licensed in Tennessee (MD0000047588) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Johns Hopkins University School Of Medicine (2005).

NPPES Registry Identity

NPI1013120815
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMELISSA SUSAN PHILLIPSCredential: MD
Location Address1934 ALCOA HWY STE D285Knoxville, TN 37920
Mailing Address1934 Alcoa Hwy Ste D285Knoxville, TN 37920 · (865) 305-9620 · Fax (865) 525-3460
Fax(865) 525-3460
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2005
Enumeration DateMay 8, 2007
Last NPPES UpdateFebruary 28, 2020
NPI 1013120815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in TN · MD0000047588 Licensed in TN · MD47588
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116017624 (VA)
1934 ALCOA HWY STE D285, Knoxville, TN 37920

Other Names 1

Former Name (1)Melissa Phillips Lapinska Md

Other Identifiers 1

Medicaid1525023TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melissa Susan Phillips Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062683279
PECOS Enrollment IDI20110920000590
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%106 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1934 ALCOA HWY STE D285
KNOXVILLE, TN 37920

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Phillips's NPI number?

The NPI number for Melissa Phillips is 1013120815. It was assigned to this individual provider in the NPPES registry on May 8, 2007. The provider is also known as Melissa Phillips Lapinska MD.

Where is Melissa Phillips located?

Melissa Phillips practices at 1934 Alcoa Hwy Ste D285, Knoxville, TN 37920. The listed phone number is (865) 305-9620.

What is Melissa Phillips's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Melissa Phillips enrolled in Medicare?

Yes. Melissa Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melissa Phillips accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Melissa Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melissa Phillips affiliated with any hospitals?

According to CMS data, Melissa Phillips is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Melissa Phillips was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.