PHYLLIS R BISHOP M.D.
NPI 1174567465
Pediatrics - Pediatric Gastroenterology in Jackson, MS

Active since June 16, 2006PECOS Enrolled
69.83/100
CMS Quality Rating
2500 N STATE ST, JACKSON, MS 39216(601) 984-5232 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phyllis R Bishop M.d. NPPES

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

PHYLLIS R BISHOP M.D. (NPI 1174567465) is an individual pediatric gastroenterology provider in Jackson, Mississippi, licensed in Mississippi (12091) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174567465
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NamePHYLLIS R BISHOPCredential: M.D.
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5232
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJune 14, 2012
NPI 1174567465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in MS · 12091
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

2500 N STATE ST, Jackson, MS 39216

Other Names 1

Other Name (5)Phyllis Robinson Nowicki

Other Identifiers 4

Medicare PIN302I372681MS
Medicaid1541168LA
Medicaid00119588MS
Medicare PIN302I377220MS

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 (PECOS)

Phyllis R Bishop M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

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.

Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Nurse Practitioner
2500 N STATE ST
JACKSON, MS 39216
Neurological Surgery
2500 N STATE ST, N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174567465, enumerated as an "individual" on June 16, 2006.

The provider is located at 2500 N STATE ST JACKSON, MS 39216 and the phone number is (601) 984-5232.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.