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PHILIP ARLIS NEIHEISEL M.D.
NPI 1366709545
Pediatrics in Sylva, NC

Active since April 12, 2012PECOS Enrolled
132 SYLVA PLZ, SYLVA, NC 28779(828) 586-2377(828) 586-5888 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2023, Oct 19, 2016 (2 updates tracked since 2016).

About Philip Arlis Neiheisel M.d. NPPES

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

PHILIP ARLIS NEIHEISEL M.D. (NPI 1366709545) is an individual pediatrics provider in Sylva, North Carolina, licensed in North Carolina (2016-01447) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Spruce Pine.

NPPES Registry Identity

NPI1366709545
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePHILIP ARLIS NEIHEISELCredential: M.D.
Location Address132 SYLVA PLZSylva, NC 28779-5252
Mailing Address132 Sylva PlzSylva, NC 28779-5252 · (828) 586-2377 · Fax (828) 586-5888
Phone(828) 586-2377
Fax(828) 586-5888
Sole ProprietorNo
Enumeration DateApril 12, 2012
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1366709545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2016-01447
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2016-01447 (NC)
132 SYLVA PLZ, Sylva, NC 28779
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Secondary Practice Location 1

Location 1125 Hospital DrSpruce Pine, NC 28777-3035 · Phone (828) 765-4201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Arlis Neiheisel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Philip Neiheisel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Indian Hospital Authority
7.8 mi
Primary Care
77 PAINT TOWN RD
Cherokee, NC 28719
  • Reassigned Medicare billing, Texas enrollment
  • 161 clinicians in this Medicare group
NPI 1801284542 (828) 554-5561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28779 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$21.30 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 suppliers12 claims12 services$115.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims22 services$187.52 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 3

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

DLP HARRIS REGIONAL HOSPITAL LLC
Home Health
132 SYLVA PLZ
SYLVA, NC 28779
Jackson County (828) 586-7410
HARRIS REGIONAL HOSPITAL
Home Health
132 SYLVA PLZ
SYLVA, NC 28779
Jackson County (828) 586-7410
HARRIS REGIONAL HOSPITAL
Home Health
132 SYLVA PLZ
SYLVA, NC 28779
Jackson County (828) 586-7410

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 Neiheisel's NPI number?

The NPI number for Philip Neiheisel is 1366709545. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Philip Neiheisel located?

Philip Neiheisel practices at 132 Sylva Plz, Sylva, NC 28779. The listed phone number is (828) 586-2377.

What is Philip Neiheisel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Philip Neiheisel enrolled in Medicare?

Yes. Philip Neiheisel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Philip Neiheisel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Neiheisel reassigns Medicare benefits to Cherokee Indian Hospital Authority (Cherokee, 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 Neiheisel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Neiheisel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Philip Neiheisel 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 Neiheisel was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.