DR. PHILIP TO M.D,
NPI 1336313725
Orthopaedic Surgery - Hand Surgery in Phoenix, AZ

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
5355 E HIGH ST UNIT 113, PHOENIX, AZ 85054(602) 648-5444(602) 772-3801 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2022, Nov 26, 2019 (2 updates tracked since 2019).

About Dr. Philip To M.d, NPPES

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

DR. PHILIP TO M.D, (NPI 1336313725) is an individual hand surgery provider in Phoenix, Arizona, licensed in Arizona (49136) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2008).

NPPES Registry Identity

NPI1336313725
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. PHILIP TOCredential: M.D,
Location Address5355 E HIGH ST UNIT 113Phoenix, AZ 85054-5481
Mailing AddressPo Box 80217Phoenix, AZ 85060-0217 · (602) 385-2115 · Fax (602) 772-3801
Fax(602) 772-3801
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2008
Enumeration DateApril 16, 2008
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
NPI 1336313725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in AZ · 49136
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 49136 (AZ), 47825 (TN)
5355 E HIGH ST UNIT 113, Phoenix, AZ 85054

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

Dr. Philip To 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 ID3476794983
PECOS Enrollment IDI20140708000801
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 24

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
1,323 services481 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
683 services539 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
490 services336 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
361 services361 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
345 services256 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
342 services318 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 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
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$112.94 avg. paid by Medicare
Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
5 suppliers13 claims13 services$311.09 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
3 suppliers29 claims29 services$178.61 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
4 suppliers101 claims111 services$58.61 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
4 suppliers13 claims13 services$200.56 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
3 suppliers57 claims62 services$62.71 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 16

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

Occupational Therapist
5355 E HIGH ST UNIT 113
PHOENIX, AZ 85054
Physician Assistant
5355 E HIGH ST UNIT 113
PHOENIX, AZ 85054
Physician Assistant
5355 E HIGH ST UNIT 113
PHOENIX, AZ 85054
Physician Assistant
5355 E HIGH ST UNIT 113
PHOENIX, AZ 85054
Physical Therapist
5355 E HIGH ST UNIT 113
PHOENIX, AZ 85054
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5355 E HIGH ST UNIT 113
PHOENIX, AZ 85054
Orthopaedic Surgery (Sports Medicine)
5355 E HIGH ST UNIT 113
PHOENIX, AZ 85054
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5355 E HIGH ST UNIT 113
PHOENIX, AZ 85054

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 To's NPI number?

The NPI number for Philip To is 1336313725. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Philip To located?

Philip To practices at 5355 E High St Unit 113, Phoenix, AZ 85054. The listed phone number is (602) 648-5444.

What is Philip To's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Philip To enrolled in Medicare?

Yes. Philip To 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 To accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Philip To 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 Philip To was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.