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DR. PHILLIP C CARR M.D.
NPI 1063456747
Obstetrics & Gynecology in Hamilton, OH

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
520 EATON AVE STE 200, HAMILTON, OH 45013(513) 867-1200(513) 867-1266 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2020, Mar 12, 2019, Jun 27, 2018 (3 updates tracked since 2018).

About Dr. Phillip C Carr M.d. NPPES

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

DR. PHILLIP C CARR M.D. (NPI 1063456747) is an individual obstetrics & gynecology provider in Hamilton, Ohio, licensed in Ohio (047868) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Fort Hamilton Hughes Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063456747
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. PHILLIP C CARRCredential: M.D.
Location Address520 EATON AVE STE 200Hamilton, OH 45013-2716
Mailing Address1 Prestige Pl, Suite 550Miamisburg, OH 45342-3794 · (937) 762-1305 · Fax (937) 522-7513
Phone(513) 867-1200
Fax(513) 867-1266
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1982
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 24, 20203 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1063456747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 047868
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
520 EATON AVE STE 200, Hamilton, OH 45013
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Secondary Practice Locations 2

Location 13035 Hamilton Mason Rd Ste 201Fairfield Township, OH 45011-5545 · Phone (513) 867-1200 · Fax (513) 867-1266
Location 210 N Locust St Ste COxford, OH 45056-1182 · Phone (513) 867-1200 · Fax (513) 867-1266

Other Identifiers 1

Medicaid0631196OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Dr. Phillip C Carr M.d. 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 ID9830220805
PECOS Enrollment IDI20100708000719
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

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.
23 services18 patients

Hospital Affiliations CMS Care Compare

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

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45013 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 3

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

DR. KELLY D RISNER M.D.
Obstetrics & Gynecology
520 EATON AVE STE 200
HAMILTON, OH 45013
Butler County (513) 867-1200
ANDREW E-KONG CHANG MD
Obstetrics & Gynecology
520 EATON AVE STE 200
HAMILTON, OH 45013
Butler County (513) 867-1200
JENNIFER O HILL WHNP
Nurse Practitioner (Women's Health)
520 EATON AVE STE 200
HAMILTON, OH 45013
Butler County (513) 867-1200

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 Phillip Carr's NPI number?

The NPI number for Phillip Carr is 1063456747. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Phillip Carr located?

Phillip Carr practices at 520 Eaton Ave Ste 200, Hamilton, OH 45013. The listed phone number is (513) 867-1200.

What is Phillip Carr's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Phillip Carr enrolled in Medicare?

Yes. Phillip Carr 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 Phillip Carr accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Phillip Carr 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 Phillip Carr affiliated with any hospitals?

According to CMS data, Phillip Carr is affiliated with Fort Hamilton Hughes Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Carr was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.