1. Home
  2. Directory
  3. West Virginia
  4. Morgantown
  5. Pediatrics
  6. NPI Profile

DR. JOHN R PHILLIPS M.D.
NPI 1255411187
Pediatrics - Pediatric Cardiology in Morgantown, WV

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4800(304) 293-6963 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John R Phillips M.d. NPPES

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

DR. JOHN R PHILLIPS M.D. (NPI 1255411187) is an individual pediatric cardiology provider in Morgantown, West Virginia, licensed in West Virginia (20557) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Pennsylvania State University College Of Medicine (1994).

NPPES Registry Identity

NPI1255411187
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JOHN R PHILLIPSCredential: M.D.
Location Address1 STADIUM DRIVEMorgantown, WV 26506
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Phone(304) 598-4800
Fax(304) 293-6963
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1994
Enumeration DateOctober 16, 2006
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1255411187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in WV · 20557
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1 STADIUM DRIVE, Morgantown, WV 26506
Open in Google Maps ↗

Other Identifiers 3

OtherWV7088G274WV · Medicare Heartnexus, Inc.
Medicaid0184366000WV
OtherPH6030471WV · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.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. John R 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 ID2466484910
PECOS Enrollment IDI20050906000365, I20201013001220
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.

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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. MICHAEL HURST M.D.
Otolaryngology
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
TANYA C AMMONS CRNA
Nurse Anesthetist, Certified Registered
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. CHERIE L KELLY-DANHIRES DPM
Podiatrist
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. DAVID WEISSMAN M. D.
Internal Medicine (Pulmonary Disease)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. KATHRYN S MOFFETT M.D.
Pediatrics (Pediatric Infectious Diseases)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
MARY E CHAFIN
Nurse Practitioner
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DENISE BOYCE PA-C
Physician Assistant
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. NATHAN LERFALD M.D.
Internal Medicine
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800

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 John Phillips's NPI number?

The NPI number for John Phillips is 1255411187. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is John Phillips located?

John Phillips practices at 1 Stadium Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4800.

What is John Phillips's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is John Phillips enrolled in Medicare?

Yes. John 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 John Phillips accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list John 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 John Phillips affiliated with any hospitals?

According to CMS data, John Phillips is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for John Phillips was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.