DR. KENNETH K PHILLIPS JR. DPM
NPI 1205932407
Podiatrist in Palm Desert, CA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
74090 EL PASO, SUITE 100, PALM DESERT, CA 92260(760) 773-3338(760) 779-8242 Get Directions Write a Review

NPPES record last updated: November 19, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kenneth K Phillips Jr. Dpm NPPES

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

DR. KENNETH K PHILLIPS JR. DPM (NPI 1205932407) is an individual podiatrist in Palm Desert, California, licensed in California (E3419) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1985).

NPPES Registry Identity

NPI1205932407
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. KENNETH K PHILLIPS JR.Credential: DPM
Location Address74090 EL PASO, SUITE 100Palm Desert, CA 92260
Mailing Address74090 El Paso, Suite 100Palm Desert, CA 92260 · (760) 773-3338 · Fax (760) 779-8242
Fax(760) 779-8242
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1985
Enumeration DateSeptember 15, 2006
Last NPPES UpdateNovember 19, 2010
NPI 1205932407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E3419
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
74090 EL PASO, Palm Desert, CA 92260

Other Identifiers 2

Medicare UPINT11684
Medicare ID-Type Unspecified000E34190

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. Kenneth K Phillips Jr. Dpm 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 ID446418404
PECOS Enrollment IDI20120222000029
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 19

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.
1,538 services751 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
488 services328 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
479 services278 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
318 services167 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
293 services176 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
290 services214 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92260 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Kenneth Phillips's NPI number?

The NPI number for Kenneth Phillips is 1205932407. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Kenneth Phillips located?

Kenneth Phillips practices at 74090 El Paso Suite 100, Palm Desert, CA 92260. The listed phone number is (760) 773-3338.

What is Kenneth Phillips's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kenneth Phillips enrolled in Medicare?

Yes. Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Phillips was last updated on November 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.