KAREN PHILLIPPS
NPI 1487673901
Family Medicine in Lake Wales, FL
About Karen Phillipps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN PHILLIPPS (NPI 1487673901) is an individual family medicine provider in Lake Wales, Florida, licensed in Florida (ME88539) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2000).
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
Enrolled in Medicare and accepts Medicare assignment
Karen Phillipps 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.
Areas of Expertise CMS Part B claims 19
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Winter Haven Hospital
Acute Care Hospitals · Winter Haven, FLAdventhealth Lake Wales
Acute Care Hospitals · Lake Wales, FLAdventhealth Sebring
Acute Care Hospitals · Sebring, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33859 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
Other Providers at the Same Location NPPES
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 Karen Phillipps's NPI number?
The NPI number for Karen Phillipps is 1487673901. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is Karen Phillipps located?
Karen Phillipps practices at 851 Chalet Suzanne Rd, Lake Wales, FL 33859. The listed phone number is (863) 679-9916.
What is Karen Phillipps's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Karen Phillipps enrolled in Medicare?
Yes. Karen Phillipps 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 Karen Phillipps accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Karen Phillipps 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 Karen Phillipps affiliated with any hospitals?
According to CMS data, Karen Phillipps is affiliated with Winter Haven Hospital, Adventhealth Lake Wales and Adventhealth Sebring.
When was this NPI record last updated?
The NPPES record for Karen Phillipps was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.