DR. PHILIP M. GUILFORD D.O.
NPI 1396265237
Family Medicine in New Bern, NC
About Dr. Philip M. Guilford D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP M. GUILFORD D.O. (NPI 1396265237) is an individual family medicine provider in New Bern, North Carolina, licensed in North Carolina (2020-02334) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and maintains a secondary practice location in New Bern.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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. Philip M. Guilford D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Philip Guilford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Bern, NC 28562
- Reassigned Medicare billing, North Carolina enrollment
- 120 clinicians in this Medicare group
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 53
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolina East Medical Center
Acute Care Hospitals · New Bern, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28562 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 15
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Guilford's NPI number?
The NPI number for Philip Guilford is 1396265237. It was assigned to this individual provider in the NPPES registry on June 21, 2017.
Where is Philip Guilford located?
Philip Guilford practices at 730 Newman Rd., New Bern, NC 28562. The listed phone number is (252) 634-9090.
What is Philip Guilford's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Philip Guilford enrolled in Medicare?
Yes. Philip Guilford 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.
Which organization bills Medicare for Philip Guilford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Guilford reassigns Medicare benefits to Coastal Carolina Health Care PA (New Bern, 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 Guilford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Guilford accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Philip Guilford 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.
Is Philip Guilford affiliated with any hospitals?
According to CMS data, Philip Guilford is affiliated with Carolina East Medical Center.
When was this NPI record last updated?
The NPPES record for Philip Guilford was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.