TODD WYCALL PHILLIPS MD
NPI 1073075446
Orthopaedic Surgery - Sports Medicine in Mesa, AZ

Q: What is Todd Phillips's NPI number?

The NPI number for Todd Phillips is 1073075446. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Q: What is Todd Phillips's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Todd Phillips was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 April 03, 2019PECOS EnrolledAccepts Medicare Assignment

1500 S DOBSON RD STE 202, MESA, AZ 85202(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2025, May 22, 2025, Apr 3, 2019 (3 updates tracked since 2019).

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About Todd Wycall Phillips Md NPPES

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

TODD WYCALL PHILLIPS MD (NPI 1073075446) is an individual sports medicine provider in Mesa, Arizona, licensed in Arizona (77425) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).

NPPES Registry Identity

NPI1073075446

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameTODD WYCALL PHILLIPSCredential: MD

Location Address1500 S DOBSON RD STE 202Mesa, AZ 85202-4724

Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (866) 974-2673 · Fax (866) 939-2673

Phone(866) 974-2673

Fax(866) 939-2673

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019

Enumeration DateApril 3, 2019

Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1073075446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in AZ · 77425✔ Licensed in FL · ME167757

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 694737 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 694737 (TX)

1500 S DOBSON RD STE 202, Mesa, AZ 85202

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Secondary Practice Location 1

Location 17200 Cambridge St Ste 10AHouston, TX 77030-4202 · Phone (804) 269-1178

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Todd Wycall Phillips 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 ID3577902659

PECOS Enrollment IDI20251014003739

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

Medicare enrollment records show Todd Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Orthopedic Research And Educatoin

0.1 mi

Physical Therapist

1450 S DOBSON RD, STE A302
Mesa, AZ 85202

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Center For Orthopedic Research And Education LLC
196 clinicians in this Medicare group

NPI 1275967408 (866) 974-2673

Tenet Florida Physician Services II, LLC

1,952 mi

Orthopaedic Surgery

901 45TH ST, KIMMEL BLDG
West Palm Beach, FL 33407

Reassigned Medicare billing, Florida enrollment
126 clinicians in this Medicare group

NPI 1912266420 (561) 844-5255

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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

164 services37 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

106 services97 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

70 services70 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.

52 services52 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

45 services43 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.

36 services36 patients

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.

AMALIA M DE COMAS MD

Orthopaedic Surgery