PHILIP LEIGH WITHNELL MD
NPI 1326097288
Family Medicine in Louisville, OH

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
1302 W MAIN ST, SUITE A, LOUISVILLE, OH 44641(330) 875-5544(330) 875-8150 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Leigh Withnell Md NPPES

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

PHILIP LEIGH WITHNELL MD (NPI 1326097288) is an individual family medicine provider in Louisville, Ohio, licensed in Ohio (35071544) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (1994).

NPPES Registry Identity

NPI1326097288
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP LEIGH WITHNELLCredential: MD
Location Address1302 W MAIN ST, SUITE ALouisville, OH 44641-1114
Mailing Address1302 W Main St, Suite ALouisville, OH 44641-1114 · (330) 875-5544 · Fax (330) 875-8150
Fax(330) 875-8150
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1994
Enumeration DateMay 9, 2006
Last NPPES UpdateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
NPI 1326097288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35071544
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.
1302 W MAIN ST, Louisville, OH 44641

Other Identifiers 1

Medicaid2070226OH

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

Philip Leigh Withnell 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 ID345365524
PECOS Enrollment IDI20100910000749
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 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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
27 services25 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44641 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 5

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

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims20 services$33.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.43 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier15 claims15 services$32.10 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 suppliers21 claims21 services$82.42 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.45 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 4

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

Family Medicine
1302 W MAIN ST, SUITE A
LOUISVILLE, OH 44641
Nurse Practitioner (Family)
1302 W MAIN ST, STE. A
LOUISVILLE, OH 44641
Family Medicine
1302 W MAIN ST, SUITE A
LOUISVILLE, OH 44641
Nurse Practitioner (Adult Health)
1302 W MAIN ST, STE. A
LOUISVILLE, OH 44641

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 Withnell's NPI number?

The NPI number for Philip Withnell is 1326097288. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Philip Withnell located?

Philip Withnell practices at 1302 W Main St Suite A, Louisville, OH 44641. The listed phone number is (330) 875-5544.

What is Philip Withnell's specialty?

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

Is Philip Withnell enrolled in Medicare?

Yes. Philip Withnell 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 Philip Withnell accept?

Health plans from CareSource and MedMutual list Philip Withnell 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 Withnell affiliated with any hospitals?

According to CMS data, Philip Withnell is affiliated with Mercy Medical Center and Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Philip Withnell was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.