MISTY M. PHILLIPS M.D.
NPI 1053461657
Pediatrics in Springfield, IL

Q: What is Misty Phillips's NPI number?

The NPI number for Misty Phillips is 1053461657. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Misty Phillips's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Phillips was last updated on May 21, 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.

Active since January 12, 2007PECOS Enrolled

2532 FARRAGUT DR, SPRINGFIELD, IL 62704(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Misty M. Phillips M.d. NPPES

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

MISTY M. PHILLIPS M.D. (NPI 1053461657) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (036117503) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053461657

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMISTY M. PHILLIPSCredential: M.D.

Location Address2532 FARRAGUT DRSpringfield, IL 62704-1433

Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541

Phone(217) 528-7541

Sole ProprietorNo

Enumeration DateJanuary 12, 2007

Last NPPES UpdateMay 21, 2020

NPPES CertifiedMay 21, 2020

✔ NPI 1053461657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036117503

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2532 FARRAGUT DR, Springfield, IL 62704

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Other Identifiers 1

Medicaid036117503IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty M. Phillips M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Misty Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Springfield Clinic, LLP

2.6 mi

Multi-Specialty

1025 S 6TH ST
Springfield, IL 62703

Reassigned Medicare billing, Illinois enrollment
735 clinicians in this Medicare group

NPI 1780638478 (217) 528-7541

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 11

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

STEPHANIE E. WOJTOWICZ M.D.

Pediatrics