PHILIP MAGHEN MD
NPI 1316524242
Hospitalist in High Point, NC
About Philip Maghen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP MAGHEN MD (NPI 1316524242) is an individual hospitalist provider in High Point, North Carolina, licensed in North Carolina (2024-00848) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains a secondary practice location in Winston Salem.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Philip Maghen 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.
Medicare Billing Reassignment
Medicare enrollment records show Philip Maghen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
High Point Regional Health System
Acute Care Hospitals · High Point, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HIGH POINT, NC 27262
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 Maghen's NPI number?
The NPI number for Philip Maghen is 1316524242. It was assigned to this individual provider in the NPPES registry on March 26, 2021.
Where is Philip Maghen located?
Philip Maghen practices at 601 N Elm St, High Point, NC 27262. The listed phone number is (336) 878-6000.
What is Philip Maghen's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Philip Maghen enrolled in Medicare?
Yes. Philip Maghen 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 organization bills Medicare for Philip Maghen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Maghen reassigns Medicare benefits to Wake Forest University Health Sciences (Lexington, NC). The 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 Philip Maghen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Maghen accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health Plan of North Carolina, Inc list Philip Maghen 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 Philip Maghen affiliated with any hospitals?
According to CMS data, Philip Maghen is affiliated with High Point Regional Health System.
When was this NPI record last updated?
The NPPES record for Philip Maghen was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Philip Maghen, MD · NPI 1316524242
Hospitalist physician in High Point, North Carolina. Individual provider, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1316524242 (Entity type: Individual)
- **Enumerated:** March 26, 2021
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2024-00848 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 N ELM ST, High Point, NC 27262-4331
- **Phone:** (336) 878-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Wake Forest University Health Sciences (NPI 1639454499, Lexington, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316524242) · Data from the CMS NPPES public registry.