BREANNE MARIE PHILLIPS PA-C
NPI 1144418054
Physician Assistant - Medical in Middletown, NY

Q: What is Breanne Phillips's NPI number?

The NPI number for Breanne Phillips is 1144418054. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Q: What is Breanne Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Breanne Phillips was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 05, 2007PECOS EnrolledAccepts Medicare Assignment

111 MALTESE DR, MIDDLETOWN, NY 10940(845) 342-4774 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2022, Feb 22, 2018 (2 updates tracked since 2018).

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About Breanne Marie Phillips Pa-c NPPES

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

BREANNE MARIE PHILLIPS PA-C (NPI 1144418054) is an individual medical provider in Middletown, New York, licensed in New York (028248) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Wayne Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144418054

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameBREANNE MARIE PHILLIPSCredential: PA-C

Location Address111 MALTESE DRMiddletown, NY 10940-2141

Mailing Address111 Maltese DrMiddletown, NY 10940-2141 · (845) 342-4774

Phone(845) 342-4774

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateOctober 5, 2007

Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1144418054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NY · 028248✔ Licensed in PA · MA053102✔ Licensed in NJ · 25MP00228600

111 MALTESE DR, Middletown, NY 10940

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Other Identifiers 1

Other028248NY · License

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

Breanne Marie Phillips Pa-c 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 ID1456403070

PECOS Enrollment IDI20221007001378

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.

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.

38 services25 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.

38 services25 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

19 services17 patients

Hospital Affiliations CMS Care Compare

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

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%284 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. DAHLIA BANERJI M.D.

Internal Medicine (Cardiovascular Disease)