NANCY J PHILLIPS MD
NPI 1073527552
Pathology - Anatomic Pathology in St Louis, MO

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1402 S GRAND, ST LOUIS, MO 63110(314) 577-8693(314) 268-5478 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nancy J Phillips Md NPPES

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

NANCY J PHILLIPS MD (NPI 1073527552) is an individual anatomic pathology provider in St Louis, Missouri, licensed in Missouri (R8H53) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1073527552
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameNANCY J PHILLIPSCredential: MD
Location Address1402 S GRANDSt Louis, MO 63110
Mailing Address1402 S Grand BlvdSaint Louis, MO 63104-1004 · (314) 977-4606 · Fax (314) 977-7615
Fax(314) 268-5478
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1984
Enumeration DateJuly 28, 2006
Last NPPES UpdateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
NPI 1073527552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in MO · R8H53
Definition
A 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.
1402 S GRAND, St Louis, MO 63110

Secondary Practice Location 1

Location 16420 Clayton RdSaint Louis, MO 63117-1872 · Phone (314) 768-8208

Accepted 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

Nancy J 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 ID1850429887
PECOS Enrollment IDI20100512000163
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 3

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
123 services54 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
37 services23 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 4

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

Pathology (Immunopathology)
1402 S GRAND
ST LOUIS, MO 63110
Pathology (Immunopathology)
1402 S GRAND
ST LOUIS, MO 63110
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND
ST LOUIS, MO 63110
Pathology (Anatomic Pathology)
1402 S GRAND
ST LOUIS, MO 63110

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 Nancy Phillips's NPI number?

The NPI number for Nancy Phillips is 1073527552. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Nancy Phillips located?

Nancy Phillips practices at 1402 S Grand, St Louis, MO 63110. The listed phone number is (314) 577-8693.

What is Nancy Phillips's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Nancy Phillips enrolled in Medicare?

Yes. Nancy Phillips 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 Nancy Phillips accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Nancy Phillips 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 Nancy Phillips affiliated with any hospitals?

According to CMS data, Nancy Phillips is affiliated with Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Phillips was last updated on March 15, 2021. 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.