PHILIP NIBLEY M.D.
NPI 1275910770
Emergency Medicine in York, PA

Active since May 04, 2015PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
1001 S GEORGE ST, YORK HOSPITAL, YORK, PA 17403(717) 851-2521 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2018, Jun 14, 2018 (2 updates tracked since 2018).

About Philip Nibley M.d. NPPES

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

PHILIP NIBLEY M.D. (NPI 1275910770) is an individual emergency medicine provider in York, Pennsylvania, licensed in California (A154947) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in York, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275910770
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePHILIP NIBLEYCredential: M.D.
Location Address1001 S GEORGE ST, YORK HOSPITALYork, PA 17403
Mailing Address3518 Bodega CtSacramento, CA 95864-2802 · (801) 722-8704
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 4, 2015
Last NPPES UpdateJune 19, 20182 updates tracked since enumeration
NPI 1275910770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A154947
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1001 S GEORGE ST, York, PA 17403

Secondary Practice Location 1

Location 11001 S George St, York HospitalYork, PA 17403-3676 · Phone (717) 851-2521

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 Nibley 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 ID5597066548
PECOS Enrollment IDI20180711001179
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
404 services394 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
255 services238 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
131 services127 patients
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.
45 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Speech-Language Pathologist
1001 S GEORGE ST
YORK, PA 17403
Nurse Practitioner (Adult Health)
1001 S GEORGE ST, 3RD FLOOR
YORK, PA 17403
Family Medicine
1001 S GEORGE ST, YORK HOSPITAL
YORK, PA 17403
Nurse Anesthetist, Certified Registered
1001 S GEORGE ST
YORK, PA 17403
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
Physician Assistant (Medical)
1001 S GEORGE ST
YORK, PA 17403
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
Internal Medicine
1001 S GEORGE ST
YORK, PA 17403

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 Nibley's NPI number?

The NPI number for Philip Nibley is 1275910770. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Philip Nibley located?

Philip Nibley practices at 1001 S George St York Hospital, York, PA 17403. The listed phone number is (717) 851-2521.

What is Philip Nibley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Philip Nibley enrolled in Medicare?

Yes. Philip Nibley 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 Philip Nibley was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.