DR. GREGORY ELLIS PHILLIPS DDS, MSD
NPI 1417022427
Dentist - Periodontics in Bloomington, IN
About Dr. Gregory Ellis Phillips Dds, Msd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GREGORY ELLIS PHILLIPS DDS, MSD (NPI 1417022427) is an individual periodontics provider in Bloomington, Indiana, licensed in Indiana (12008604) and active in the NPI registry since November 2006. He has opted out of Medicare through December 15, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Gregory Ellis Phillips Dds, Msd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2015 through December 15, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gregory Phillips's NPI number?
The NPI number for Gregory Phillips is 1417022427. It was assigned to this individual provider in the NPPES registry on November 22, 2006.
Where is Gregory Phillips located?
Gregory Phillips practices at 230 N Morton St, Bloomington, IN 47404. The listed phone number is (812) 323-7000.
What is Gregory Phillips's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Gregory Phillips enrolled in Medicare?
No. Gregory Phillips has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Gregory Phillips accept?
Health plans from Delta Dental of Indiana and Humana list Gregory 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 Gregory Phillips was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.
# Dr. Gregory Ellis Phillips, DDS, MSD · NPI 1417022427
Periodontics provider in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1417022427 (Entity type: Individual)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 12008604 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 N MORTON ST, Bloomington, IN 47404-3964
- **Phone:** (812) 323-7000
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 15, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 15, 2026
- **Other identifiers:** Medicaid 100083240A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1417022427) · Data from the CMS NPPES public registry.