MISHA JANELLE PHILLIPS-LEE M.D.
NPI 1437357316
Family Medicine in Elkins, WV

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
812 GORMAN AVE, ELKINS, WV 26241(304) 636-3300(304) 637-3441 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Misha Janelle Phillips-lee M.d. NPPES

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

MISHA JANELLE PHILLIPS-LEE M.D. (NPI 1437357316) is an individual family medicine provider in Elkins, West Virginia, licensed in West Virginia (27249) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (2007).

NPPES Registry Identity

NPI1437357316
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMISHA JANELLE PHILLIPS-LEECredential: M.D.
Location Address812 GORMAN AVEElkins, WV 26241-3181
Mailing Address812 Gorman AveElkins, WV 26241-3181 · (304) 636-3300
Fax(304) 637-3441
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2007
Enumeration DateJuly 3, 2007
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
NPI 1437357316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WV · 27249 Licensed in SC · 30055
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.
812 GORMAN AVE, Elkins, WV 26241

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Misha Janelle Phillips-lee M.d. 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 ID4880728278
PECOS Enrollment IDI20170111002640
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.

Areas of Expertise CMS Part B claims 4

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.
387 services206 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
83 services83 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.
66 services57 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26241 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
7 suppliers32 claims69 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims25 services$0.99 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers14 claims28 services$1.69 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims456 services$3.94 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims8,487 services$0.35 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 supplier44 claims47 services$20.91 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 20

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

Obstetrics & Gynecology
812 GORMAN AVE
ELKINS, WV 26241
Physician Assistant
812 GORMAN AVE
ELKINS, WV 26241
Podiatrist (Foot Surgery)
812 GORMAN AVE
ELKINS, WV 26241
Nurse Anesthetist, Certified Registered
812 GORMAN AVE
ELKINS, WV 26241
Family Medicine
812 GORMAN AVE
ELKINS, WV 26241
Audiologist-Hearing Aid Fitter
812 GORMAN AVE
ELKINS, WV 26241
Advanced Practice Midwife
812 GORMAN AVE
ELKINS, WV 26241
Surgery
812 GORMAN AVE
ELKINS, WV 26241

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 Misha Phillips-lee's NPI number?

The NPI number for Misha Phillips-lee is 1437357316. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Misha Phillips-lee located?

Misha Phillips-lee practices at 812 Gorman Ave, Elkins, WV 26241. The listed phone number is (304) 636-3300.

What is Misha Phillips-lee's specialty?

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

Is Misha Phillips-lee enrolled in Medicare?

Yes. Misha Phillips-lee 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.

What insurance does Misha Phillips-lee accept?

Health plans from CareSource list Misha Phillips-lee 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 Misha Phillips-lee affiliated with any hospitals?

According to CMS data, Misha Phillips-lee is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Davis Medical Center and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Misha Phillips-lee was last updated on May 1, 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.