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DAVID PHILLIPS DO
NPI 1023511987
Orthopaedic Surgery in Amherst, NY

Active since March 16, 2018PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
3925 SHERIDAN DR, AMHERST, NY 14226(716) 250-9999(716) 250-6555 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2024, Jun 6, 2023, Jul 13, 2021 and 3 more (6 updates tracked since 2018).

About David Phillips Do NPPES

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

DAVID PHILLIPS DO (NPI 1023511987) is an individual orthopaedic surgery provider in Amherst, New York, licensed in New York (326440) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains a secondary practice location in Niagara Falls.

NPPES Registry Identity

NPI1023511987
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID PHILLIPSCredential: DO
Location Address3925 SHERIDAN DRAmherst, NY 14226-1738
Mailing Address3925 Sheridan DrAmherst, NY 14226-1738 · (716) 250-9999 · Fax (716) 250-6555
Phone(716) 250-9999
Fax(716) 250-6555
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2018
Enumeration DateMarch 16, 2018
Last NPPES UpdateAugust 1, 20246 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1023511987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NY · 326440✔ Licensed in PA · OT018338
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3925 SHERIDAN DR, Amherst, NY 14226
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Secondary Practice Location 1

Location 110195 Niagara Falls Blvd Ste 100Niagara Falls, NY 14304-2941 · Phone (716) 250-9999 · Fax (716) 250-6555

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

David Phillips Do 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 ID6507113875
PECOS Enrollment IDI20240608000022
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 5

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.

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.
26 services23 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
16 services13 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
13 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services11 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MRS. JENNIFFER MARIE MACE ATC, LMT
Massage Therapist
3925 SHERIDAN DR
AMHERST, NY 14226
Erie County (716) 250-9999
PHILLIP M GLAMUZINA PA-C
Physician Assistant
3925 SHERIDAN DR
AMHERST, NY 14226
Erie County (716) 250-9999
JADEN GILLETTE PT, DPT
Physical Therapist (Orthopedic)
3925 SHERIDAN DR
AMHERST, NY 14226
Erie County (716) 250-9999
JAMIE MARIE WHITENIGHT DPT
Physical Therapist
3925 SHERIDAN DR, SUITE 100
AMHERST, NY 14226
Erie County (716) 250-9999
KING HWA WONG MB BCH, FRCS
Student in an Organized Health Care Education/Training Program
3925 SHERIDAN DR, C/O ANNIE CUMBO, SUITE 100
AMHERST, NY 14226
Erie County (716) 250-9999
DR. DANIEL VINCENT VARGO M.D.
Orthopaedic Surgery
3925 SHERIDAN DR
AMHERST, NY 14226
Erie County (716) 250-9999
ZACHARY SNYDER PA
Physician Assistant
3925 SHERIDAN DR
AMHERST, NY 14226
Erie County (716) 250-9999
PHILIP WERNER SORENSEN PT
Physical Therapist
3925 SHERIDAN DR
AMHERST, NY 14226
Erie County (716) 250-9999

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 David Phillips's NPI number?

The NPI number for David Phillips is 1023511987. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Where is David Phillips located?

David Phillips practices at 3925 Sheridan Dr, Amherst, NY 14226. The listed phone number is (716) 250-9999.

What is David Phillips's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Phillips enrolled in Medicare?

Yes. David 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.

Is David Phillips affiliated with any hospitals?

According to CMS data, David Phillips is affiliated with Kaleida Health, Sisters Of Charity Hospital, Kenmore Mercy Hospital and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for David Phillips was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.