KENNETH PHILLIPS MD
NPI 1306924022
Plastic Surgery in Lakeland, FL

Q: What is Kenneth Phillips's NPI number?

The NPI number for Kenneth Phillips is 1306924022. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Kenneth Phillips's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Phillips was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 01, 2006PECOS EnrolledAccepts Medicare Assignment

202 LAKE MIRIAM DR UNIT 1, LAKELAND, FL 33813(866) 400-3376(863) 709-0273 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kenneth Phillips Md NPPES

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

KENNETH PHILLIPS MD (NPI 1306924022) is an individual plastic surgery provider in Lakeland, Florida, licensed in Florida (ME176103) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Nebraska College Of Medicine (1995).

NPPES Registry Identity

NPI1306924022

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameKENNETH PHILLIPSCredential: MD

Location Address202 LAKE MIRIAM DR UNIT 1Lakeland, FL 33813-2180

Mailing Address151 Southhall Ln Ste 300Maitland, FL 32751-7172 · (866) 400-3376 · Fax (407) 650-3455

Phone(866) 400-3376

Fax(863) 709-0273

Sole ProprietorNo

Medical School CMSNebraska College Of MedicineGraduated 1995

Enumeration DateNovember 1, 2006

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1306924022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in FL · ME176103

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

202 LAKE MIRIAM DR UNIT 1, Lakeland, FL 33813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Kenneth Phillips 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 ID6901087162

PECOS Enrollment IDI20260421004310

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

Medicare enrollment records show Kenneth Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Leavitt Medical Associates Of Florida Inc

12 mi

Dermatology

2005 W REYNOLDS ST
Plant City, FL 33563

Reassigned Medicare billing, Florida enrollment
116 clinicians in this Medicare group

NPI 1649560335 (813) 752-6824

Permanente Medical Group Inc

2,367 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33813 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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 Kenneth Phillips's NPI number?

The NPI number for Kenneth Phillips is 1306924022. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kenneth Phillips located?

Kenneth Phillips practices at 202 Lake Miriam Dr Unit 1, Lakeland, FL 33813. The listed phone number is (866) 400-3376.

What is Kenneth Phillips's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kenneth Phillips enrolled in Medicare?

Yes. Kenneth 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.

Which organizations bill Medicare for Kenneth Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Phillips reassigns Medicare benefits to 2 organizations: Leavitt Medical Associates Of Florida Inc (Plant City, FL) and Permanente Medical Group Inc (Stockton, CA). 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 Kenneth Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Phillips accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Phillips was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.