DR. JUSTIN T. PHILLIPS M.D.
NPI 1205150083
Psychiatry & Neurology - Neurology in Louisville, KY

Q: What is Justin Phillips's NPI number?

The NPI number for Justin Phillips is 1205150083. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Q: What is Justin Phillips's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Justin Phillips was last updated on January 21, 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.

Active since March 23, 2010PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4950 NORTON HEALTHCARE BLVD, SUITE 305, LOUISVILLE, KY 40241(502) 394-6460(502) 394-6465 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Dec 5, 2018, Feb 16, 2017 and 1 more (4 updates tracked since 2016).

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About Dr. Justin T. Phillips M.d. NPPES

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

DR. JUSTIN T. PHILLIPS M.D. (NPI 1205150083) is an individual neurology provider in Louisville, Kentucky, licensed in Kentucky (47289) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Louisville School Of Medicine (2010).

NPPES Registry Identity

NPI1205150083

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JUSTIN T. PHILLIPSCredential: M.D.

Location Address4950 NORTON HEALTHCARE BLVD, SUITE 305Louisville, KY 40241-2845

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 394-6460

Fax(502) 394-6465

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2010

Enumeration DateMarch 23, 2010

Last NPPES UpdateJanuary 21, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2021

✔ NPI 1205150083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in KY · 47289

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

4950 NORTON HEALTHCARE BLVD, Louisville, KY 40241

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Justin T. Phillips 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 ID3577889476

PECOS Enrollment IDI20150312001674

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 16

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 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.

334 services302 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

175 services60 patients

Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616

This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.

119 services40 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

106 services104 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

102 services97 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

81 services41 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity 64642

This procedure involves injecting a chemical into specific muscles in your arm or leg, causing temporary paralysis. It targets 1-4 muscles in the first extremity. It's often used to manage conditions that cause muscle spasms or overactivity.

81 services29 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

81 services75 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

68 services68 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

61 services60 patients

Injection of chemical for paralysis of salivary glands on both sides of mouth 64611

This procedure involves injecting a special chemical into both salivary glands in your mouth. The aim is to temporarily paralyze these glands, reducing saliva production. This could be necessary for various oral health conditions. It's typically a safe, outpatient procedure.

52 services16 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

45 services19 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

41 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970

This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.

35 services30 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983

This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.

21 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

3 suppliers28 claims784 services$19.00 avg. paid by Medicare

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340

DME-Drugs Administered Through DME · category DG000N

3 suppliers42 claims1,960 services$167.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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. JANELL SEEGER M.D.

Internal Medicine (Medical Oncology)

4950 NORTON HEALTHCARE BLVD, SUITE 300
LOUISVILLE, KY 40241

Jefferson County (502) 394-6350

DR. DAVID ALAN HASSELBACHER M.D.

Internal Medicine (Pulmonary Disease)

4950 NORTON HEALTHCARE BLVD, SUITE 208
LOUISVILLE, KY 40241

Jefferson County (502) 614-4179

CHARLES M INBARAJ M.D.

Internal Medicine

4950 NORTON HEALTHCARE BLVD, #100
LOUISVILLE, KY 40241

Jefferson County (502) 394-6200

KAREN ROSARIO ORTIZ MD

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

4950 NORTON HEALTHCARE BLVD, SUITE 309
LOUISVILLE, KY 40241

Jefferson County (502) 394-5678

CHELSEY SPARKS DNP, APRN

Nurse Practitioner (Acute Care)

4950 NORTON HEALTHCARE BLVD, 205
LOUISVILLE, KY 40241

Jefferson County (502) 394-6390

DR. LAILA SAIED AGRAWAL MD

Internal Medicine (Hematology & Oncology)

4950 NORTON HEALTHCARE BLVD, SUITE 300
LOUISVILLE, KY 40241

Jefferson County (502) 394-6350

CHRISTINA SEVILLA APRN

Nurse Practitioner

4950 NORTON HEALTHCARE BLVD, SUITE 305
LOUISVILLE, KY 40241

Jefferson County (502) 394-6460

REBECCA A PARRISH APRN

Nurse Practitioner

4950 NORTON HEALTHCARE BLVD, SUITE 208
LOUISVILLE, KY 40241

Jefferson County (502) 614-4179

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 Justin Phillips's NPI number?

The NPI number for Justin Phillips is 1205150083. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Justin Phillips located?

Justin Phillips practices at 4950 Norton Healthcare Blvd Suite 305, Louisville, KY 40241. The listed phone number is (502) 394-6460.

What is Justin Phillips's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Justin Phillips enrolled in Medicare?

Yes. Justin 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 Justin Phillips accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Justin 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 Justin Phillips affiliated with any hospitals?

According to CMS data, Justin Phillips is affiliated with Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Justin Phillips was last updated on January 21, 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.