PHILLIP WAYNE JANSEN D.O.
NPI 1407887318
Family Medicine in Greenwood, SC

Q: What is Phillip Jansen's NPI number?

The NPI number for Phillip Jansen is 1407887318. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Phillip Jansen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Jansen was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

1228 HIGHWAY 72 W, GREENWOOD, SC 29649(864) 943-0549 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 25, 2022, Jul 12, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Phillip Wayne Jansen D.o. NPPES

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

PHILLIP WAYNE JANSEN D.O. (NPI 1407887318) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (36207) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407887318

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePHILLIP WAYNE JANSENCredential: D.O.

Location Address1228 HIGHWAY 72 WGreenwood, SC 29649-1816

Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7263 · Fax (706) 774-7230

Phone(864) 943-0549

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 6, 2006

Last NPPES UpdateMarch 15, 20245 updates tracked since enumeration

NPPES CertifiedMarch 15, 2024

✔ NPI 1407887318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · 36207✔ Licensed in GA · 066956

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1228 HIGHWAY 72 W, Greenwood, SC 29649

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Secondary Practice Locations 2

Location 11325 Spring StGreenwood, SC 29646-3860 · Phone (864) 725-4111

Location 21012 Burleyson RdDalton, GA 30720-8340 · Phone (706) 529-3245 · Fax (706) 272-6077

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Phillip Wayne Jansen 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.

PECOS PAC ID3870588668

PECOS Enrollment IDI20260304003610

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

Medicare enrollment records show Phillip Jansen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Self Medical Group

Same address

Family Medicine

1228 HIGHWAY 72 W
Greenwood, SC 29649

Reassigned Medicare billing, South Carolina enrollment
560 clinicians in this Medicare group

NPI 1376930875 (864) 943-0549

Deaf Smith County Hospital District

1,153 mi

General Acute Care Hospital

540 W 15TH ST
Hereford, TX 79045

Reassigned Medicare billing, Texas enrollment
71 clinicians in this Medicare group

NPI 1568454403 (806) 364-2141

Phillip W. Jansen

1,153 mi

Family Medicine

540 W 15TH ST
Hereford, TX 79045

Reassigned Medicare billing, Texas enrollment

NPI 1336012046 (803) 364-7512

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 5

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.

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.

135 services81 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

116 services78 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.

96 services70 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

38 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420071

Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County

Emergency services Birthing friendly

Allendale County Hospital

Critical Access Hospitals · Fairfax, SC

OwnershipGovernment - Local

CMS Certification Number421300

Location1787 Allendale Fairfax RdFairfax, SC 29827 · Allendale County

Emergency services

Hereford Regional Medical Center

Acute Care Hospitals · Hereford, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450155

Location801 East ThirdHereford, TX 79045 · Deaf Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29649 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

99%340 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers26 claims64 services$6.33 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier24 claims24 services$21.24 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 suppliers36 claims36 services$112.69 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$35.44 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 8

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

SELF REGIONAL HEALTHCARE

Family Medicine