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CHARLES ROBERT PHILLIPS MD
NPI 1518064385
Internal Medicine - Critical Care Medicine in Portland, OR

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-1620 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 24, 2022, Mar 18, 2016 (2 updates tracked since 2016).

About Charles Robert Phillips Md NPPES

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

CHARLES ROBERT PHILLIPS MD (NPI 1518064385) is an individual critical care medicine provider in Portland, Oregon, licensed in Indiana (CV2103421) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1518064385
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameCHARLES ROBERT PHILLIPSCredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address1700 Sw Martha StPortland, OR 97239-2716 · (503) 709-8865
Phone(503) 494-1620
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1990
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1518064385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in IN · CV2103421✔ Licensed in OR · MD17331
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 111109 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 672-6637 · Fax (260) 458-5355

Other Identifiers 1

Medicaid038682OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Robert Phillips Md 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 ID1254306368
PECOS Enrollment IDI20231026003900
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Charles Phillips reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mckenzie Physician Services LLC
1,975 mi
General Practice
1573 MALLORY LN STE 100
Brentwood, TN 37027
  • Reassigned Medicare billing, Oregon enrollment
  • 198 clinicians in this Medicare group
NPI 1316909054 (152) 221-1400
App Of Tennessee Hm, PLLC
2,007 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Charleston Area Medical Center Inc
2,123 mi
Multi-Specialty
407 MAIN ST STE 1
Belpre, OH 45714
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1588422547 (740) 315-5709
Blue Ridge Medical Management Corporation
2,145 mi
Obstetrics & Gynecology
900 W MAIN ST, HEALTH LINK OF ROGERSVILLE
Rogersville, TN 37857
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1134139017 (423) 272-0542

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
97 services48 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Charles Phillips's NPI number?

The NPI number for Charles Phillips is 1518064385. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Charles Phillips located?

Charles Phillips practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-1620.

What is Charles Phillips's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Charles Phillips enrolled in Medicare?

Yes. Charles Phillips 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.

Which organizations bill Medicare for Charles Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Phillips reassigns Medicare benefits to 4 organizations: Mckenzie Physician Services LLC (Brentwood, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN), Charleston Area Medical Center Inc (Belpre, OH) and Blue Ridge Medical Management Corporation (Rogersville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Phillips accept?

Health plans from CareSource list Charles 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.

Is Charles Phillips affiliated with any hospitals?

According to CMS data, Charles Phillips is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Phillips was last updated on January 24, 2022. 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.