DR. PHILLIP J HOVERSTADT M.D, MPH
NPI 1326487323
Emergency Medicine in Tucson, AZ

Q: What is Phillip Hoverstadt's NPI number?

The NPI number for Phillip Hoverstadt is 1326487323. It was assigned to this individual provider in the NPPES registry on June 23, 2013.

Q: What is Phillip Hoverstadt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 23, 2013PECOS EnrolledAccepts Medicare Assignment

1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 626-7233 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Phillip J Hoverstadt M.d, Mph NPPES

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

DR. PHILLIP J HOVERSTADT M.D, MPH (NPI 1326487323) is an individual emergency medicine provider in Tucson, Arizona, licensed in Arizona (26852) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1326487323

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. PHILLIP J HOVERSTADTCredential: M.D, MPH

Location Address1501 N CAMPBELL AVETucson, AZ 85724-5057

Mailing Address1501 N Campbell Ave, P.o. Box 245057Tucson, AZ 85724-5057 · (520) 626-7233

Phone(520) 626-7233

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013

Enumeration DateJune 23, 2013

Last NPPES UpdateJuly 19, 2013

✔ NPI 1326487323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in AZ · 26852

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1501 N CAMPBELL AVE, Tucson, AZ 85724

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Other Identifiers 1

Other26852AZ · University Of Arizona

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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. Phillip J Hoverstadt M.d, Mph 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 ID9032402060

PECOS Enrollment IDI20160727002707

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 Phillip Hoverstadt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acs Primary Care Physicians Southwest, PA

806 mi

Emergency Medicine

1900 HOSPITAL BLVD
Gainesville, TX 76240

Reassigned Medicare billing, Texas enrollment
1,193 clinicians in this Medicare group

NPI 1538101019 (925) 924-1600

Pine Ridge Indian Health Service Hospital

874 mi

General Acute Care Hospital

EAST HIGHWAY 18
Pine Ridge, SD 57770

Reassigned Medicare billing, Texas enrollment
426 clinicians in this Medicare group

NPI 1497786412 (605) 837-3314

Memorial Hermann Hospital Based Physician Group

929 mi

Emergency Medicine

929 GESSNER RD STE 2700
Houston, TX 77024

Reassigned Medicare billing, Texas enrollment
408 clinicians in this Medicare group

NPI 1295363497 (713) 242-2712

Baylor College Of Medicine

938 mi

Internal Medicine

6620 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1104867175 (713) 798-2500

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

81 services78 patients

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.

41 services40 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.

30 services30 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

30 services29 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

MR. DOUGLAS FRANK LARSON PH.D.

Perfusionist

1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724

Pima County (520) 626-6339

MARTIN DEMANT

Pediatrics