ROBERT RAYMOND PHILLIPS M.D.
NPI 1285683805
Internal Medicine - Cardiovascular Disease in Helena, MT

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
2550 E BROADWAY ST, HELENA, MT 59601(406) 457-4180 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 10, 2019, Mar 12, 2018 (2 updates tracked since 2018).

About Robert Raymond Phillips M.d. NPPES

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

ROBERT RAYMOND PHILLIPS M.D. (NPI 1285683805) is an individual cardiovascular disease provider in Helena, Montana, licensed in Montana (36103) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Peters Health, and maintains a secondary practice location in Helena.

NPPES Registry Identity

NPI1285683805
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROBERT RAYMOND PHILLIPSCredential: M.D.
Location Address2550 E BROADWAY STHelena, MT 59601
Mailing AddressPo Box 6369Helena, MT 59604-6369 · (406) 447-2828
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1995
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 10, 20192 updates tracked since enumeration
NPI 1285683805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in MT · 36103 Licensed in WA · MD00035268
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD00035268 (WA), 36103 (MT)
2550 E BROADWAY ST, Helena, MT 59601

Secondary Practice Location 1

Location 12550 E Broadway StHelena, MT 59601 · Phone (406) 457-4180

Other Identifiers 9

Other0279978WA · L&i And Crime Victims For Phmg
MedicaidMD1868AK
Other82107WA · L&i And Crime Victims For Sjmc
Medicaid1285683805WA
Other5486PHWA · Regence Blue Shield
Other7870297WA · Aetna
Medicaid8358863WA
OtherG010WA · Tri West (tricare)
OtherP00049744WA · Railroad Medicare

Accepted 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

Robert Raymond 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 ID941272090
PECOS Enrollment IDI20180103001760
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 12

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 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.
801 services623 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
313 services306 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
313 services306 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
191 services190 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.
177 services174 patients
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.
170 services154 patients

Hospital Affiliations CMS Care Compare 2

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Pharmacist
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Internal Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Allergy & Immunology (Allergy)
2550 E BROADWAY ST
HELENA, MT 59601

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 Robert Phillips's NPI number?

The NPI number for Robert Phillips is 1285683805. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Robert Phillips located?

Robert Phillips practices at 2550 E Broadway St, Helena, MT 59601. The listed phone number is (406) 457-4180.

What is Robert Phillips's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Phillips enrolled in Medicare?

Yes. Robert 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 Robert Phillips accept?

Health plans from Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Robert 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 Robert Phillips affiliated with any hospitals?

According to CMS data, Robert Phillips is affiliated with St Peters Health and Great Falls Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Robert Phillips was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.