PHILIP L HAWKINS DDS
NPI 1518935246
Dentist - Oral and Maxillofacial Surgery in Milwaukee, WI

Active since March 09, 2006Opted out of Medicare · through Jan 2, 2028
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-2040(414) 266-5677 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Philip L Hawkins Dds NPPES

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

PHILIP L HAWKINS DDS (NPI 1518935246) is an individual oral and maxillofacial surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (2293015) and active in the NPI registry since March 2006. He has opted out of Medicare through January 2, 2028 and remains eligible to order and refer and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1518935246
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NamePHILIP L HAWKINSCredential: DDS
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-2040 · Fax (414) 266-5677
Fax(414) 266-5677
Sole ProprietorYes
Enumeration DateMarch 9, 2006
Last NPPES UpdateDecember 11, 2023
NPPES CertifiedDecember 31, 2020
✔ NPI 1518935246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WI · 2293015
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Location 1

Location 12450 W North AveMilwaukee, WI 53205-1001 · Phone (414) 210-2440

Other Identifiers 1

Medicaid33453300WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Philip L Hawkins Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2020 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2020
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Philip Hawkins's NPI number?

The NPI number for Philip Hawkins is 1518935246. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Philip Hawkins located?

Philip Hawkins practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-2040.

What is Philip Hawkins's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Philip Hawkins enrolled in Medicare?

No. Philip Hawkins has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Philip Hawkins accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Philip Hawkins 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.

When was this NPI record last updated?

The NPPES record for Philip Hawkins was last updated on December 11, 2023. 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.