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PHILIP CHARLES OVERALL M.D.
NPI 1346475035
Emergency Medicine in Morehead, KY

Active since May 25, 2009PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
222 MEDICAL CIRCLE, MOREHEAD, KY 40351(859) 582-9528 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Philip Charles Overall M.d. NPPES

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

PHILIP CHARLES OVERALL M.D. (NPI 1346475035) is an individual emergency medicine provider in Morehead, Kentucky, licensed in Kentucky (45381) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1346475035
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePHILIP CHARLES OVERALLCredential: M.D.
Location Address222 MEDICAL CIRCLEMorehead, KY 40351
Mailing Address222 Medical CircleMorehead, KY 40351 · (859) 582-9528
Phone(859) 582-9528
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 25, 2009
Last NPPES UpdateNovember 14, 2012
✔ NPI 1346475035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 45381
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.
222 MEDICAL CIRCLE, Morehead, KY 40351
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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 Charles Overall 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 ID941483655
PECOS Enrollment IDI20110317000556
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 3

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.
62 services61 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.
50 services50 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.
27 services26 patients

Hospital Affiliations CMS Care Compare

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.43
Promoting Interoperability84
Improvement Activities40
Cost71.06

Other Providers at the Same Location NPPES 7

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

CRAIG D BUTLER II MD
Radiology (Diagnostic Radiology)
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Rowan County (606) 783-6500
MR. MOHAMMAD ASLAM SIDDIQUI PHARM D
Pharmacist
222 MEDICAL CIRCLE, DEPARTMENT OF PHARMACY
MOREHEAD, KY 40351
Rowan County (606) 783-6740
JOHN HUNTER BLACK MD
Internal Medicine
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Rowan County (606) 783-6808
KRISTIE LYNN MULLINS CRNA
Nurse Anesthetist, Certified Registered
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Rowan County (606) 783-6500
CANDICE SISK CRNA
Nurse Anesthetist, Certified Registered
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Rowan County (606) 783-6500
AVRAM DON MCCARTY PA-C
Physician Assistant
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Rowan County (606) 783-6500
ST. CLAIRE MEDICAL CENTER INC.
Anesthesiology
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Rowan County (260) 407-8000

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 Overall's NPI number?

The NPI number for Philip Overall is 1346475035. It was assigned to this individual provider in the NPPES registry on May 25, 2009.

Where is Philip Overall located?

Philip Overall practices at 222 Medical Circle, Morehead, KY 40351. The listed phone number is (859) 582-9528.

What is Philip Overall's specialty?

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

Is Philip Overall enrolled in Medicare?

Yes. Philip Overall 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.

Is Philip Overall affiliated with any hospitals?

According to CMS data, Philip Overall is affiliated with St Claire Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Overall was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.