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DR. SCOTT D PHILLIPS M.D.
NPI 1376514406
Hospitalist in Denver, CO

Active since January 27, 2006PECOS Enrolled
98.31/100
CMS Quality Rating
730 17TH ST, SUITE 925, DENVER, CO 80202(303) 815-1960(303) 889-5161 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Scott D Phillips M.d. NPPES

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

DR. SCOTT D PHILLIPS M.D. (NPI 1376514406) is an individual hospitalist provider in Denver, Colorado, licensed in Colorado (30404) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376514406
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SCOTT D PHILLIPSCredential: M.D.
Location Address730 17TH ST, SUITE 925Denver, CO 80202-3580
Mailing AddressPo Box 13250Burton, WA 98013-0250 · (303) 815-1960 · Fax (303) 889-5161
Phone(303) 815-1960
Fax(303) 889-5161
Sole ProprietorYes
Enumeration DateJanuary 27, 2006
Last NPPES UpdateNovember 12, 2013
✔ NPI 1376514406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CO · 30404
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedSpecialistTaxonomy 174400000X · License 30404 (CO)
730 17TH ST, Denver, CO 80202
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINE74381CO
Medicaid1304047CO
Medicaid78133718CO
Medicare ID-Type Unspecified532048CO · Group
Medicare ID-Type Unspecified532068CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott D Phillips 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 Reassignments

2

Medicare enrollment records show Scott Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Denver Health And Hospital Authority
1.3 mi
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000
Providence Health & Services - Washington
881 mi
Critical Access
982 E COLUMBIA AVE
Colville, WA 99114
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1003067679 (Washington)
  • 44 clinicians in this Medicare group
NPI 1841442332 (509) 684-2561

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80202 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.94
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers20 claims20 services$15.76 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 suppliers20 claims20 services$81.32 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

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

PHILLIPS & COMPANY, INC
Specialist
730 17TH ST, SUITE 915
DENVER, CO 80202
Denver County (303) 815-1960

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 Scott Phillips's NPI number?

The NPI number for Scott Phillips is 1376514406. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Scott Phillips located?

Scott Phillips practices at 730 17th St Suite 925, Denver, CO 80202. The listed phone number is (303) 815-1960.

What is Scott Phillips's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Scott Phillips enrolled in Medicare?

Yes. Scott Phillips is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scott Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Phillips reassigns Medicare benefits to 2 organizations: Denver Health And Hospital Authority (Denver, CO) and Providence Health & Services - Washington (Colville, WA). Each 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 Scott Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Phillips accept?

Health plans from Ambetter Health list Scott Phillips 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 Scott Phillips was last updated on November 12, 2013. 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.