MICHAEL P. PHY D.O.
NPI 1497744767
Internal Medicine in Lubbock, TX

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3601 4TH ST, LUBBOCK, TX 79430(806) 743-3150(806) 743-3168 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael P. Phy D.o. NPPES

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

MICHAEL P. PHY D.O. (NPI 1497744767) is an individual internal medicine provider in Lubbock, Texas, licensed in Texas (K5662) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1997).

NPPES Registry Identity

NPI1497744767
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL P. PHYCredential: D.O.
Location Address3601 4TH STLubbock, TX 79430-9410
Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-3150 · Fax (806) 743-3168
Fax(806) 743-3168
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1997
Enumeration DateOctober 19, 2005
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
NPI 1497744767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · K5662
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3601 4TH ST, Lubbock, TX 79430

Other Identifiers 10

Medicaid66398NM
Other68807NM · Presbyterian Commercial
Medicaid118516701TX
Medicaid68807NM
Medicaid100149890AOK
OtherA451NM · Triwest
Other84304ZTX · Hmo Blue
Other88178GTX · Bc/bs
Medicaid121479101TX
Other121479103TX · Firstcare Commercial

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

Michael P. Phy 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 ID7012068513
PECOS Enrollment IDI20090623000530
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
109 services43 patients
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.
73 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services35 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.
28 services28 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.
26 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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.

Speech-Language Pathologist
3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430
Anesthesiology
3601 4TH ST
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Psychiatry & Neurology (Psychiatry)
3601 4TH ST
LUBBOCK, TX 79430
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430
Orthopaedic Surgery (Sports Medicine)
3601 4TH ST
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Internal Medicine
3601 4TH ST
LUBBOCK, TX 79430

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 Michael Phy's NPI number?

The NPI number for Michael Phy is 1497744767. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Michael Phy located?

Michael Phy practices at 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 743-3150.

What is Michael Phy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Phy enrolled in Medicare?

Yes. Michael Phy 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 Michael Phy accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Phy 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 Michael Phy affiliated with any hospitals?

According to CMS data, Michael Phy is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Phy was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.