DR. WILLIAM RUSSELL PHIPPS M.D.
NPI 1295758779
Surgery - Surgical Critical Care in Sebastian, FL

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
12920 US HIGHWAY 1 STE A, SEBASTIAN, FL 32958(321) 727-7992 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 21, 2025, Apr 12, 2024, May 31, 2023 and 2 more (5 updates tracked since 2018).

About Dr. William Russell Phipps M.d. NPPES

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

DR. WILLIAM RUSSELL PHIPPS M.D. (NPI 1295758779) is an individual surgical critical care provider in Sebastian, Florida, licensed in Florida (ME133891) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lawnwood Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (2000).

NPPES Registry Identity

NPI1295758779
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. WILLIAM RUSSELL PHIPPSCredential: M.D.
Location Address12920 US HIGHWAY 1 STE ASebastian, FL 32958-3772
Mailing Address12920 Us Highway 1 Ste ASebastian, FL 32958-3772 · (321) 727-7992
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2000
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1295758779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses✔ Licensed in FL · ME133891✔ Licensed in OH · 35088267
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 35088267 (OH)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 35088267 (OH)
12920 US HIGHWAY 1 STE A, Sebastian, FL 32958

Other Identifiers 1

Medicaid102517900FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William Russell Phipps 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 ID5092711747
PECOS Enrollment IDI20181219000730
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.

Medicare Billing Reassignments

5

Medicare enrollment records show William Phipps reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Ultrasound
250 N WICKHAM RD
Melbourne, FL 32935
  • Reassigned Medicare billing, Florida enrollment
  • 254 clinicians in this Medicare group
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
Specialist
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, Florida enrollment
  • 139 clinicians in this Medicare group
Specialist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 287 clinicians in this Medicare group
Critical Care Medicine
6201 N SUNCOAST BLVD
Crystal River, FL 34428
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
393 services163 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
12920 US HIGHWAY 1 STE A
SEBASTIAN, FL 32958
Nurse Practitioner (Adult Health)
12920 US HIGHWAY 1 STE A
SEBASTIAN, FL 32958
Internal Medicine (Pulmonary Disease)
12920 US HIGHWAY 1 STE A
SEBASTIAN, FL 32958
Internal Medicine (Pulmonary Disease)
12920 US HIGHWAY 1 STE A
SEBASTIAN, FL 32958

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 1295758779. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is William Phipps located?

William Phipps practices at 12920 Us Highway 1 Ste A, Sebastian, FL 32958. The listed phone number is (321) 727-7992.

What is William Phipps's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

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.

Which organizations bill Medicare for William Phipps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Phipps reassigns Medicare benefits to 5 organizations: Steward Medical Group, Inc (Melbourne, FL), Orlando Health Medical Group Inc (Orlando, FL), Nuview Telehealth, LLC (Boca Raton, FL), Intensive Care Consortium Inc (Aventura, FL) and Continuum Medical Solutions, LLC (Crystal River, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Phipps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Phipps accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list William Phipps 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 William Phipps affiliated with any hospitals?

According to CMS data, William Phipps is affiliated with Hca Florida Lawnwood Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for William Phipps was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.