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DR. HAROLD EUGENE PHILLIPS JR. M.D.
NPI 1124026869
Family Medicine in Mystic, CT

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
3 HERON RD, MYSTIC, CT 06355(860) 536-6442(860) 536-6442 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2021, Oct 31, 2018 (2 updates tracked since 2018).

About Dr. Harold Eugene Phillips Jr. M.d. NPPES

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

DR. HAROLD EUGENE PHILLIPS JR. M.D. (NPI 1124026869) is an individual family medicine provider in Mystic, Connecticut, licensed in Connecticut (36959) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Meharry Medical College School Of Medicine (1995).

NPPES Registry Identity

NPI1124026869
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HAROLD EUGENE PHILLIPS JR.Credential: M.D.
Location Address3 HERON RDMystic, CT 06355-3253
Mailing Address3 Heron RdMystic, CT 06355-3253 · (860) 536-6442 · Fax (860) 536-6442
Phone(860) 536-6442
Fax(860) 536-6442
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1995
Enumeration DateJuly 7, 2005
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1124026869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CT · 36959✔ Licensed in FL · ME146710
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 036959 (CT)
Also ListedHospitalistTaxonomy 208M00000X · License ME146710 (FL)
3 HERON RD, Mystic, CT 06355
Open in Google Maps ↗

Other Identifiers 1

Medicaid001369596CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Wellpoint.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. Harold Eugene Phillips Jr. 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 ID7113947409
PECOS Enrollment IDI20201111001572
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
543 services226 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
194 services187 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
96 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
95 services95 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Adventhealth Wauchula

Critical Access Hospitals · Wauchula, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101300
Location735 S 5th AveWauchula, FL 33873 · Hardee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$107.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MS. MARY ELLEN PAGNOZZI A.P.R.N.
Nurse Practitioner (Adult Health)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
MRS. KAREN JANET TERWILLIGER MS, APRN, AGPCNP-BC
Nurse Practitioner (Gerontology)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (401) 497-6799
MYSTIC GERIATRICS, LLC
Family Medicine (Geriatric Medicine)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-5302
MICHAEL J. FELTES,DBA SOUND SENIORS GERIATRICS, APRN
Nurse Practitioner (Gerontology)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD
Family Medicine (Geriatric Medicine)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
DR. MICHAEL J FELTES M.D.
Family Medicine
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
CHERYL A WALKER APRN
Nurse Practitioner (Gerontology)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442

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 Harold Phillips's NPI number?

The NPI number for Harold Phillips is 1124026869. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Harold Phillips located?

Harold Phillips practices at 3 Heron Rd, Mystic, CT 06355. The listed phone number is (860) 536-6442.

What is Harold Phillips's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harold Phillips enrolled in Medicare?

Yes. Harold 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 Harold Phillips accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Harold 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 Harold Phillips affiliated with any hospitals?

According to CMS data, Harold Phillips is affiliated with Adventhealth Sebring and Adventhealth Wauchula.

When was this NPI record last updated?

The NPPES record for Harold Phillips was last updated on June 22, 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.