DR. WILLIAM JAMES PHIPPS JR. MD
NPI 1285601260
Family Medicine in Sutherland, VA

Q: What is William Phipps's NPI number?

The NPI number for William Phipps is 1285601260. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is William Phipps's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for William Phipps was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 08, 2006PECOS EnrolledAccepts Medicare Assignment

5609 CLAIBORNE RD, SUTHERLAND, VA 23885(804) 265-5211(804) 265-2707 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. William James Phipps Jr. Md NPPES

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

DR. WILLIAM JAMES PHIPPS JR. MD (NPI 1285601260) is an individual family medicine provider in Sutherland, Virginia, licensed in Virginia (0101041502) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1986).

NPPES Registry Identity

NPI1285601260

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WILLIAM JAMES PHIPPS JR.Credential: MD

Location Address5609 CLAIBORNE RDSutherland, VA 23885-9303

Mailing Address5609 Claiborne RdSutherland, VA 23885-9303 · (804) 265-5211 · Fax (804) 265-2707

Phone(804) 265-5211

Fax(804) 265-2707

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1986

Enumeration DateMarch 8, 2006

Last NPPES UpdateFebruary 23, 2009

✔ NPI 1285601260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101041502

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5609 CLAIBORNE RD, Sutherland, VA 23885

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Other Identifiers 7

Medicare UPIND95160VA

Other828664VA · Optimum Choice

Other100630VA · Anthem

Other577254VA · Aetna

Other45881VA · Sentara

Other815004VA · Southern Health

Medicaid5636256VA

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. William James Phipps Jr. 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 ID9032254560

PECOS Enrollment IDI20100317000911

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 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.

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.

603 services391 patients

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.

268 services213 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

195 services195 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

176 services176 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

95 services95 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

91 services91 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

57 services50 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.

23 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

18 services18 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23885 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers45 claims91 services$5.47 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers20 claims20 services$0.83 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

2 suppliers20 claims20 services$60.94 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$28.03 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers13 claims3,072 services$0.03 avg. paid by Medicare

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

DME-Other DME · category DE000N

3 suppliers13 claims13 services$21.59 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALEB DONALDSON SOUTHALL MD

Family Medicine

5609 CLAIBORNE RD
SUTHERLAND, VA 23885

Dinwiddie County (804) 265-5211

SUTHERLAND FAMILY PRACTICE INC.

Family Medicine

5609 CLAIBORNE RD
SUTHERLAND, VA 23885

Dinwiddie County (804) 265-5211

DR. KIRBY D SOUTHALL M.D.

Family Medicine

5609 CLAIBORNE RD
SUTHERLAND, VA 23885

Dinwiddie County (804) 265-5211

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 William Phipps's NPI number?

The NPI number for William Phipps is 1285601260. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is William Phipps located?

William Phipps practices at 5609 Claiborne Rd, Sutherland, VA 23885. The listed phone number is (804) 265-5211.

What is William Phipps's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Phipps enrolled in Medicare?

Yes. William Phipps 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.

Is William Phipps affiliated with any hospitals?

According to CMS data, William Phipps is affiliated with Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for William Phipps was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.