DR. PHILLIP D MCMULLEN MD, PHD
NPI 1215384698
Pathology - Anatomic Pathology & Clinical Pathology in Maywood, IL

Q: What is Phillip Mcmullen's NPI number?

The NPI number for Phillip Mcmullen is 1215384698. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Q: What is Phillip Mcmullen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Mcmullen was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 16, 2016PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, May 8, 2023, Sep 13, 2021 and 2 more (5 updates tracked since 2016).

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About Dr. Phillip D Mcmullen Md, Phd NPPES

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

DR. PHILLIP D MCMULLEN MD, PHD (NPI 1215384698) is an individual anatomic pathology & clinical pathology provider in Maywood, Illinois, licensed in Illinois (036151760) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2016).

NPPES Registry Identity

NPI1215384698

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. PHILLIP D MCMULLENCredential: MD, PHD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address601 Elmwood Ave, Box 626Rochester, NY 14642-0001 · (585) 273-4135 · Fax (585) 273-3637

Phone(708) 216-9000

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2016

Enumeration DateMay 16, 2016

Last NPPES UpdateJuly 7, 20235 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1215384698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in IL · 036151760✔ Licensed in NY · 309456✔ Licensed in IL · 125068421

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 309456 (NY)

2160 S 1ST AVE, Maywood, IL 60153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health.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. Phillip D Mcmullen Md, Phd 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 ID3274825807

PECOS Enrollment IDI20230508000495

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

Medicare enrollment records show Phillip Mcmullen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loyola University Medical Center

0.1 mi

General Practice

2160 S 1ST AVE
Maywood, IL 60153

Reassigned Medicare billing, Illinois enrollment
1,138 clinicians in this Medicare group

NPI 1336159961 (708) 216-3215

Saint Joseph Regional Medical Center-South Bend Campus, Inc.

82 mi

Family Medicine

234 CHAPIN ST STE I (I)
South Bend, IN 46601

Reassigned Medicare billing, Indiana enrollment
216 clinicians in this Medicare group

NPI 1396154324 (574) 335-8250

Saint Joseph Regional Medical Center- Plymouth Campus Inc

86 mi

Family Medicine

1919 LAKE AVE STE 102B
Plymouth, IN 46563

Reassigned Medicare billing, Indiana enrollment
73 clinicians in this Medicare group

NPI 1538585187 (574) 335-6800

St James Hospital

524 mi

Rural

7329 SENECA ROAD NORTH
Hornell, NY 14843

Reassigned Medicare billing, New York enrollment
436 clinicians in this Medicare group

NPI 1013985399 (607) 247-2200

University Of Rochester

528 mi

Primary Care

738 LIBRARY RD., 270617
Rochester, NY 14627

Reassigned Medicare billing, New York enrollment
1,624 clinicians in this Medicare group

NPI 1548583305 (585) 275-2662

The Frederick Ferris Thompson Hospital

544 mi

General Acute Care Hospital

350 PARRISH ST
Canandaigua, NY 14424

Reassigned Medicare billing, New York enrollment
347 clinicians in this Medicare group

NPI 1194776351 (585) 396-6000

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 13

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

385 services245 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

197 services62 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

180 services99 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

100 services86 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

99 services69 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

60 services37 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

51 services44 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

40 services13 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

38 services35 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

33 services33 patients

Surgical pathology consultation and report on referred slides prepared elsewhere 88321

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

27 services27 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

16 services15 patients

Antibody evaluation, initial single antibody stain procedure 88346

An antibody evaluation, initial single antibody stain procedure is a laboratory test. It's designed to identify specific proteins, or antibodies, in your body. This can help diagnose certain conditions or monitor your immune system's response to treatments. The procedure involves staining a single type of antibody for detection.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140008

Location701 West North AveMelrose Park, IL 60160 · Cook County

Emergency services

Macneal Hospital

Acute Care Hospitals · Berwyn, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140054

Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County

Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)