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DR. PHILLIP A NYE M.D.
NPI 1558373464
Internal Medicine - Sleep Medicine in Vero Beach, FL

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
1485 37TH ST STE 111, VERO BEACH, FL 32960(772) 226-6855(772) 226-6854 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 30, 2023, Apr 21, 2021 (2 updates tracked since 2021).

About Dr. Phillip A Nye M.d. NPPES

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

DR. PHILLIP A NYE M.D. (NPI 1558373464) is an individual sleep medicine provider in Vero Beach, Florida, licensed in Florida (ME95624) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and maintains a secondary practice location in Vero Beach.

NPPES Registry Identity

NPI1558373464
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. PHILLIP A NYECredential: M.D.
Location Address1485 37TH ST STE 111Vero Beach, FL 32960-6518
Mailing Address1485 37th St Ste 111Vero Beach, FL 32960-6518 · (772) 226-6855
Phone(772) 226-6855
Fax(772) 226-6854
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 12, 2006
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1558373464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in FL · ME95624
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedAnesthesiologyTaxonomy 207L00000X · License ME95624 (FL)
1485 37TH ST STE 111, Vero Beach, FL 32960
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Secondary Practice Location 1

Location 13500 US Highway 1Vero Beach, FL 32960-4511 · Phone (772) 299-1404

Other Identifiers 3

OtherF1422Advanced Eye Surgery Center
Other1649353582Advanced Eye Surgery Center
OtherME95624FL · Sleep Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Molina Healthcare, Oscar Health Maintenance Organization of Florida.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

Dr. Phillip A Nye 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 ID3274637889
PECOS Enrollment IDI20070409000114
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 10

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.

Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days 99091
This service involves gathering and analyzing health data from a patient, which is digitally stored and sent to a healthcare professional. This may include heart rate, blood pressure, or blood sugar levels. The process takes at least 30 minutes and is repeated every 30 days.
255 services180 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.
202 services154 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.
133 services133 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.
123 services111 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
88 services88 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
87 services87 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers209 claims209 services$38.31 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers61 claims61 services$91.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers52 claims99 services$34.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers41 claims174 services$20.47 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers28 claims126 services$15.83 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers172 claims172 services$58.87 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 3

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

ASPIRE REHAB INC
Speech-Language Pathologist
1485 37TH ST STE 111
VERO BEACH, FL 32960
Indian River County (772) 257-6962
ANESTHESIA AND SLEEP MEDICINE SERVICES OF FLORIDA LLC
Internal Medicine (Sleep Medicine)
1485 37TH ST STE 111
VERO BEACH, FL 32960
Indian River County (772) 226-6855
JENNIFER N NYE FNP-C
Nurse Practitioner (Family)
1485 37TH ST STE 111
VERO BEACH, FL 32960
Indian River County (772) 226-6855

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 Phillip Nye's NPI number?

The NPI number for Phillip Nye is 1558373464. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Phillip Nye located?

Phillip Nye practices at 1485 37th St Ste 111, Vero Beach, FL 32960. The listed phone number is (772) 226-6855.

What is Phillip Nye's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Phillip Nye enrolled in Medicare?

Yes. Phillip Nye 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 Phillip Nye accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Phillip Nye 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 Phillip Nye affiliated with any hospitals?

According to CMS data, Phillip Nye is affiliated with Cleveland Clinic Indian River Hospital and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Nye was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.