DR. MATTHEW BENJAMIN PHILLIPS DMD
NPI 1417907338
Dentist - Endodontics in Fort Gordon, GA

Active since May 11, 2006PECOS Enrolled
BLDG 38717 38TH STREET, FORT GORDON, GA 30905(706) 787-6927 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2023, May 21, 2018 (2 updates tracked since 2018).

About Dr. Matthew Benjamin Phillips Dmd NPPES

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

DR. MATTHEW BENJAMIN PHILLIPS DMD (NPI 1417907338) is an individual endodontics provider in Fort Gordon, Georgia, licensed in Colorado (DEN.00009022) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417907338
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. MATTHEW BENJAMIN PHILLIPSCredential: DMD
Location AddressBLDG 38717 38TH STREETFort Gordon, GA 30905
Mailing AddressBldg 38717 38th StreetFort Gordon, GA 30905
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
NPI 1417907338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in CO · DEN.00009022
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License DEN.00009022 (CO), 054351 (NY)
BLDG 38717 38TH STREET, Fort Gordon, GA 30905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Matthew Benjamin Phillips Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Dentist
BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Dentist (Prosthodontics)
BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Dentist
BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Dentist
BLDG 38717 38TH STREET, USA DENTAL ACTIVITY
FORT GORDON, GA 30905
Dentist
BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Dentist
BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Dentist
BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Dentist (General Practice)
BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905

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 Matthew Phillips's NPI number?

The NPI number for Matthew Phillips is 1417907338. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Matthew Phillips located?

Matthew Phillips practices at Bldg 38717 38th Street, Fort Gordon, GA 30905. The listed phone number is (706) 787-6927.

What is Matthew Phillips's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Matthew Phillips enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Phillips was last updated on March 10, 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.