DR. STEPHANUS R PHILIP MD
NPI 1043255797
Hospitalist in Ventura, CA

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
3291 LOMA VISTA RD, VENTURA, CA 93003(805) 652-6075(805) 652-6286 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Stephanus R Philip Md NPPES

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

DR. STEPHANUS R PHILIP MD (NPI 1043255797) is an individual hospitalist provider in Ventura, California, licensed in California (A87363) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1999).

NPPES Registry Identity

NPI1043255797
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. STEPHANUS R PHILIPCredential: MD
Location Address3291 LOMA VISTA RDVentura, CA 93003-3099
Mailing Address3291 Loma Vista RdVentura, CA 93003-3099 · (805) 652-6075 · Fax (805) 652-6286
Fax(805) 652-6286
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1999
Enumeration DateJune 17, 2006
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1043255797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A87363
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A87363 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A87363 (CA)
3291 LOMA VISTA RD, Ventura, CA 93003

Other Identifiers 2

Other00A873630CA · Mcal Provider Number
OtherWA87363DCA · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanus R Philip 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 ID7911973235
PECOS Enrollment IDI20040908001082
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Stephanus Philip reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
200 HILLMONT AVE
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
Critical Care Medicine
215 W JANSS RD
Thousand Oaks, CA 91360
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
Hospitalist
215 W JANSS RD
Thousand Oaks, CA 91360
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
Internal Medicine
8733 BEVERLY BLVD STE 306
West Hollywood, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 175 clinicians in this Medicare group
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 clinicians in this Medicare group
Internal Medicine
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 914 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
136 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
80 services47 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%73 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$783.27 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$23.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Pathology (Anatomic Pathology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Psychiatry & Neurology (Psychiatry)
3291 LOMA VISTA RD
VENTURA, CA 93003
Anesthesiology
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Occupational Therapist
3291 LOMA VISTA RD, VENTURA COUNTY MEDICAL CENTER
VENTURA, CA 93003
Anesthesiology
3291 LOMA VISTA RD
VENTURA, CA 93003

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 Stephanus Philip's NPI number?

The NPI number for Stephanus Philip is 1043255797. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Stephanus Philip located?

Stephanus Philip practices at 3291 Loma Vista Rd, Ventura, CA 93003. The listed phone number is (805) 652-6075.

What is Stephanus Philip's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Stephanus Philip enrolled in Medicare?

Yes. Stephanus Philip 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.

Which organizations bill Medicare for Stephanus Philip's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanus Philip reassigns Medicare benefits to 6 organizations: County Of Ventura (Ventura, CA), Jaspreet Somal M.D., A.P.C. (Thousand Oaks, CA), Life Medical Practitioners (Thousand Oaks, CA), Kansal Inc (West Hollywood, CA), Inpatient Specialists Of California, PC (San Bernardino, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanus Philip's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanus Philip was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.