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DR. PAUL PHILLIPS IV MD
NPI 1215290580
Orthopaedic Surgery - Sports Medicine in New Orleans, LA

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
478 S JOHNSON ST FL 6, NEW ORLEANS, LA 70112(504) 568-2243 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2019, May 10, 2018 (2 updates tracked since 2018).

About Dr. Paul Phillips Iv Md NPPES

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

DR. PAUL PHILLIPS IV MD (NPI 1215290580) is an individual sports medicine provider in New Orleans, Louisiana, licensed in Louisiana (311170) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215290580
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. PAUL PHILLIPS IVCredential: MD
Location Address478 S JOHNSON ST FL 6New Orleans, LA 70112-2238
Mailing Address478 S Johnson St Fl 6New Orleans, LA 70112-2238 · (504) 568-2243
Phone(504) 568-2243
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateSeptember 17, 20192 updates tracked since enumeration
✔ NPI 1215290580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in LA · 311170
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
478 S JOHNSON ST FL 6, New Orleans, LA 70112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Phillips Iv Md 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 ID4981935806
PECOS Enrollment IDI20191008001153
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

3

Medicare enrollment records show Paul Phillips reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Louisiana State University School Of Medicine In New Orleans Faculty G
Same address
Multi-Specialty
478 S JOHNSON ST FL 6
New Orleans, LA 70112
  • Reassigned Medicare billing, Louisiana enrollment
  • 931 clinicians in this Medicare group
NPI 1477582526 (504) 412-1819
Ochsner Clinic LLC
1.0 mi
Internal Medicine
701 POYDRAS ST STE 107
New Orleans, LA 70139
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
NPI 1003379124 (504) 703-1355
Lallie Kemp Medical Ctr
54 mi
Critical Access
52579 HIGHWAY 51 S
Independence, LA 70443
  • Reassigned Medicare billing, Louisiana enrollment
  • 104 clinicians in this Medicare group
NPI 1558303420 (985) 878-9421

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

Areas of Expertise CMS Part B claims 4

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.
43 services29 patients
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.
23 services19 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
18 services13 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190274
Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County
Emergency services Birthing friendly

Lallie Kemp Medical Center

Critical Access Hospitals · Independence, LA
OwnershipGovernment - State
CMS Certification Number191321
Location52579 Highway 51 SouthIndependence, LA 70443 · Tangipahoa County
Emergency services

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.

LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G
Clinic/Center (Multi-Specialty)
478 S JOHNSON ST FL 6
NEW ORLEANS, LA 70112
Orleans Parish (504) 412-1819
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G
Dentist
478 S JOHNSON ST FL 6
NEW ORLEANS, LA 70112
Orleans Parish (504) 412-1819

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 Paul Phillips's NPI number?

The NPI number for Paul Phillips is 1215290580. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Paul Phillips located?

Paul Phillips practices at 478 S Johnson St Fl 6, New Orleans, LA 70112. The listed phone number is (504) 568-2243.

What is Paul Phillips's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Paul Phillips enrolled in Medicare?

Yes. Paul 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.

Which organizations bill Medicare for Paul Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Phillips reassigns Medicare benefits to 3 organizations: Louisiana State University School Of Medicine In New Orleans Faculty G (New Orleans, LA), Ochsner Clinic LLC (New Orleans, LA) and Lallie Kemp Medical Ctr (Independence, LA). 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 Paul Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Phillips accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Paul 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 Paul Phillips affiliated with any hospitals?

According to CMS data, Paul Phillips is affiliated with University Medical Center New Orleans, Ochsner Medical Center Acute, Ochsner Medical Center-Kenner and Lallie Kemp Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Phillips was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.