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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TROY MAC PHILLIPS DO
NPI 1194994210
Family Medicine in Flat Rock, NC

Active since February 22, 2008PECOS EnrolledAccepts Medicare Assignment
80.07/100
CMS Quality Rating
571 S ALLEN RD STE 63, FLAT ROCK, NC 28731(828) 513-2676(877) 275-5923 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Jun 3, 2025, Nov 16, 2023 and 4 more (7 updates tracked since 2019).

About Troy Mac Phillips Do NPPES

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

TROY MAC PHILLIPS DO (NPI 1194994210) is an individual family medicine provider in Flat Rock, North Carolina, licensed in South Carolina (1618) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194994210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTROY MAC PHILLIPSCredential: DO
Location Address571 S ALLEN RD STE 63Flat Rock, NC 28731-9447
Mailing Address571 S Allen Rd Ste 63Flat Rock, NC 28731-9447 · (828) 513-2676 · Fax (877) 275-5923
Phone(828) 513-2676
Fax(877) 275-5923
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 22, 2008
Last NPPES UpdateAugust 6, 20267 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1194994210 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 SC · 1618✔ Licensed in SC · TL1618✔ Licensed in KS · 05-48528
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 · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 1618 (SC)
Also ListedPediatricsTaxonomy 208000000X · License 1618 (SC)
571 S ALLEN RD STE 63, Flat Rock, NC 28731
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Other Identifiers 3

OtherP01221638SC · Railroad Medicare
Medicaid48220736CO
Medicaid016182SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, First Choice Next, Molina Healthcare.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

Troy Mac Phillips Do 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 ID6608930847
PECOS Enrollment IDI20230109002102
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 28731 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

80.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.44
Promoting Interoperability99
Improvement Activities40
Cost50.98

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 Troy Phillips's NPI number?

The NPI number for Troy Phillips is 1194994210. It was assigned to this individual provider in the NPPES registry on February 22, 2008.

Where is Troy Phillips located?

Troy Phillips practices at 571 S Allen Rd Ste 63, Flat Rock, NC 28731. The listed phone number is (828) 513-2676.

What is Troy Phillips's specialty?

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

Is Troy Phillips enrolled in Medicare?

Yes. Troy 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 Troy Phillips accept?

Health plans from Blue Cross and Blue Shield of Texas, First Choice Next and Molina Healthcare list Troy 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.

When was this NPI record last updated?

The NPPES record for Troy Phillips was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.