PHILIP LYNN PIRTLE MD
NPI 1265455950
Internal Medicine - Pulmonary Disease in Houston, TX

Q: What is Philip Pirtle's NPI number?

The NPI number for Philip Pirtle is 1265455950. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Philip Pirtle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Philip Pirtle was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

6565 FANNIN ST, HOUSTON, TX 77030(346) 238-6625 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2026, Mar 17, 2018, Dec 7, 2017 (3 updates tracked since 2017).

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About Philip Lynn Pirtle Md NPPES

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

PHILIP LYNN PIRTLE MD (NPI 1265455950) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (J0202) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1990).

NPPES Registry Identity

NPI1265455950

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NamePHILIP LYNN PIRTLECredential: MD

Location Address6565 FANNIN STHouston, TX 77030-2703

Mailing Address6565 Fannin StHouston, TX 77030-2703 · (346) 238-6625

Phone(346) 238-6625

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1990

Enumeration DateJuly 25, 2006

Last NPPES UpdateMay 14, 20263 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1265455950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · J0202

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

6565 FANNIN ST, Houston, TX 77030

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Other Identifiers 5

Medicaid131207608TX

Other0004779888TX · Aetna

Medicaid131207610TX

Other8K9981TX · Blue Cross Blue

OtherP00144152TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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

Philip Lynn Pirtle 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 ID143293654

PECOS Enrollment IDI20040816001361

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 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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

102 services97 patients

Critical care, first 30-74 minutes 99291

92 services90 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

73 services72 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

18 suppliers161 claims161 services$34.36 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers77 claims77 services$75.65 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

11 suppliers70 claims199 services$28.91 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

13 suppliers57 claims330 services$15.15 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

16 suppliers110 claims611 services$13.24 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

18 suppliers157 claims157 services$47.41 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

20 suppliers134 claims134 services$15.17 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

6 suppliers18 claims18 services$8.41 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

13 suppliers62 claims62 services$9.91 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

18 suppliers219 claims1,237 services$1.76 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

16 suppliers94 claims94 services$11.04 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers35 claims37 services$14.35 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers24 claims24 services$914.80 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers14 claims14 services$66.78 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

9 suppliers22 claims22 services$117.83 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier13 claims13 services$10.21 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers19 claims22 services$3.19 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

13 suppliers173 claims175 services$31.96 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers86 claims88 services$64.15 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers59 claims59 services$30.23 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers26 claims1,560 services$6.81 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

6 suppliers27 claims1,230 services$0.84 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

4 suppliers29 claims152,250 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers42 claims42 services$26.12 avg. paid by Medicare

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

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.

SMAROULA DILIOGLOU PHD

Specialist/Technologist, Pathology

6565 FANNIN ST, MS205
HOUSTON, TX 77030

Harris County (713) 394-6450

MS. PRISCILLA DIAZ RN

Registered Nurse

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-2030

HOUSTON METHODIST CARDIOVASCULAR ANESTHESIA

Anesthesiology

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 667-6097

LAN ZHOU MD

Pathology (Anatomic Pathology & Clinical Pathology)

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 394-6450

DR. AMANDA WALTON BASFORD M.D.

Internal Medicine (Nephrology)

6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030

Harris County (713) 441-0006

MRS. AMY REYES MICLAT RN, MS, CCRN, APRN-B

Nurse Practitioner (Acute Care)

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-4999

DR. MAHEEN ADAM WARDAK MD

Anesthesiology

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-2194

DR. SHUANG LI M.D.

Hospitalist

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 368-9466

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 Philip Pirtle's NPI number?

The NPI number for Philip Pirtle is 1265455950. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Philip Pirtle located?

Philip Pirtle practices at 6565 Fannin St, Houston, TX 77030. The listed phone number is (346) 238-6625.

What is Philip Pirtle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Philip Pirtle enrolled in Medicare?

Yes. Philip Pirtle 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 Philip Pirtle accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Philip Pirtle 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 Philip Pirtle affiliated with any hospitals?

According to CMS data, Philip Pirtle is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Philip Pirtle was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.