MARK G PHILLIPS MD NPI 1063494375

Pathology (Anatomic Pathology & Clinical Pathology) in West Palm Beach, FL

NPI 1063494375 Individual Male Years of Experience 36 Pathology Anatomic Pathology & Clinical Pathology PECOS Enrolled Accepts Medicare Approved Payment

About MARK PHILLIPS

Mark Phillips is a provider established in West Palm Beach, Florida and his medical specialization is pathology (anatomic pathology & clinical pathology) with more than 36 years of experience. The NPI number of Mark Phillips is 1063494375 and was assigned on November 2005. The practitioner's primary taxonomy code is 207ZP0102X with license number ME55124 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

Mark Phillips is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Mark Phillips is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Good Samaritan Medical Center, St Mary's Medical Center and Palm Beach Gardens Medical Center.

NPI

1063494375

Provider Name MARK G PHILLIPS MD
Provider Location Address2013 PONCE DELEON AVE PALM BEACH PATHOLOGY PA WEST PALM BEACH, FL 33407
Provider Mailing Address300 BUTLER ST PALM BEACH PATHOLOGY PA WEST PALM BEACH, FL 33407
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1986
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-14-2005
Last Update Date08-27-2010


Primary Taxonomy

Taxonomy Code207ZP0102X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology & Clinical Pathology
License No.ME55124
License StateFL
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Business Address

MARK G PHILLIPS MD
2013 PONCE DELEON AVE
PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 659-0770
Fax: (561) 802-3504

Get Directions


Mailing Address

MARK G PHILLIPS MD
300 BUTLER ST
PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 659-0770
Fax: (561) 802-3504



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1850434820
PECOS Enrollment IDI20100130000256
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 548Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • 507Special stained specimen slides to examine tissue (HCPCS:88341)
  • 212Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • 110Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • 100Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Phillips is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GOOD SAMARITAN MEDICAL CENTER1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511Acute Care Hospitals100287
ST MARY'S MEDICAL CENTER901 45TH ST
WEST PALM BEACH, FL 33407
(561) 840-6202Acute Care Hospitals100288
PALM BEACH GARDENS MEDICAL CENTER3360 BURNS RD
PALM BEACH GARDENS, FL 33410
(561) 622-1411Acute Care Hospitals100176

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
14419ZMEDICARE PIN (08)FL
14419OTHER (01)FL
220011725OTHER (01)
057823100MEDICAID (05)FL
CR759ZMEDICARE PIN (08)FL
F09734MEDICARE UPIN (02)
14419SMEDICARE PIN (08)FL
14419VMEDICARE PIN (08)FL

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154303469 SANFORD ALLEN MULLEN JR. MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2013 PONCE DELEON AVE PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL 33407
(561) 659-0770
1962484279 ALAN S SARA MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2013 PONCE DELEON AVE PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL 33407
(561) 659-0770
1619951621PALM BEACH PATHOLOGY PA
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2013 PONCE DELEON AVE PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL 33407
(561) 659-0770

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.