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 Fort Mill, SC

Active since February 22, 2008PECOS Enrolled
80.07/100
CMS Quality Rating
100 MAIN ST STE 204, FORT MILL, SC 29715(803) 369-6255 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 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 Fort Mill, South Carolina, licensed in South Carolina (1618) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gaffney.

NPPES Registry Identity

NPI1194994210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTROY MAC PHILLIPSCredential: DO
Location Address100 MAIN ST STE 204Fort Mill, SC 29715-1769
Mailing Address300 N Main St Ste DHendersonville, NC 28792-0401
Sole ProprietorNo
Enumeration DateFebruary 22, 2008
Last NPPES UpdateOctober 20, 20267 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1194994210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 1618✔ 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)
100 MAIN ST STE 204, Fort Mill, SC 29715

Secondary Practice Location 1

Location 1212 E Floyd Baker BlvdGaffney, SC 29340-3118 · Phone (864) 432-5078

Other Identifiers 3

Medicaid016182SC
OtherP01221638SC · Railroad Medicare
Medicaid48220736CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Troy Mac Phillips Do 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Troy Phillips reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
500 LAKESHORE PKWY
Rock Hill, SC 29730
  • Reassigned Medicare billing, South Carolina enrollment
  • 62 clinicians in this Medicare group
Internal Medicine
139 MEDICAL CENTER DRIVE
Gaffney, SC 29340
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1952870057 (South Carolina), NPI 1205499217 (South Carolina)
  • 754 clinicians in this Medicare group
Hospice and Palliative Medicine
435 W BANKHEAD HWY
Villa Rica, GA 30180
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, South Carolina enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29715 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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

Other Providers at the Same Location NPPES 2

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

Family Medicine (Hospice and Palliative Medicine)
100 MAIN ST STE 204
FORT MILL, SC 29715
Hospice Care, Community Based
100 MAIN ST STE 204
FORT MILL, SC 29715

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 100 Main St Ste 204, Fort Mill, SC 29715. The listed phone number is (803) 369-6255.

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 enrollment system.

Which organizations bill Medicare for Troy Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Phillips reassigns Medicare benefits to 4 organizations: Providence House Calls LLC (Rock Hill, SC), Spartanburg Medical Center (Gaffney, SC), Family Hospice And Palliative Care LLC (Villa Rica, GA) and Carelon Medical Partners, PC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Troy Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.