PHILIP E GREENSPAN MD
NPI 1568543288
Internal Medicine - Pulmonary Disease in Fairfield, CT

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
501 KINGS HWY E, SUITE 204, FAIRFIELD, CT 06825(203) 610-6300(203) 610-6347 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip E Greenspan Md NPPES

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

PHILIP E GREENSPAN MD (NPI 1568543288) is an individual pulmonary disease provider in Fairfield, Connecticut, licensed in Connecticut (043568) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1998).

NPPES Registry Identity

NPI1568543288
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePHILIP E GREENSPANCredential: MD
Location Address501 KINGS HWY E, SUITE 204Fairfield, CT 06825-4867
Mailing Address501 Kings Hwy E, Suite 204Fairfield, CT 06825-4867 · (203) 610-6300 · Fax (203) 610-6347
Fax(203) 610-6347
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1998
Enumeration DateOctober 18, 2006
Last NPPES UpdateMay 31, 2013
NPI 1568543288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 043568
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 043568 (CT)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 043568 (CT)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 043568 (CT)
501 KINGS HWY E, Fairfield, CT 06825

Other Identifiers 3

Medicare UPINI63683CT
Medicaid001435686CT
Medicare PIN110010057CT

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

Philip E Greenspan 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 ID1557369451
PECOS Enrollment IDI20061130000395
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 18

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.

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.
997 services457 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
559 services299 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.
199 services73 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
178 services69 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
163 services150 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
153 services141 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06825 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 25

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
10 suppliers290 claims291 services$32.11 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers30 claims55 services$1.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers212 claims214 services$73.37 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers195 claims542 services$27.20 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers65 claims358 services$14.38 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers57 claims336 services$12.85 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 20

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

Surgery (Vascular Surgery)
501 KINGS HWY E, SUITE 112
FAIRFIELD, CT 06825
Internal Medicine (Pulmonary Disease)
501 KINGS HWY E, SUITE 204
FAIRFIELD, CT 06825
Internal Medicine (Pulmonary Disease)
501 KINGS HWY E, SUITE 204
FAIRFIELD, CT 06825
Specialist
501 KINGS HWY E, SUITE 202
FAIRFIELD, CT 06825
Nurse Practitioner (Family)
501 KINGS HWY E
FAIRFIELD, CT 06825
Dentist (Dentist Anesthesiologist)
501 KINGS HWY E
FAIRFIELD, CT 06825
Local Education Agency (LEA)
501 KINGS HWY E
FAIRFIELD, CT 06825
Internal Medicine (Pulmonary Disease)
501 KINGS HWY E, SUITE 204
FAIRFIELD, CT 06825

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 Greenspan's NPI number?

The NPI number for Philip Greenspan is 1568543288. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Philip Greenspan located?

Philip Greenspan practices at 501 Kings Hwy E Suite 204, Fairfield, CT 06825. The listed phone number is (203) 610-6300.

What is Philip Greenspan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Philip Greenspan enrolled in Medicare?

Yes. Philip Greenspan 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.

When was this NPI record last updated?

The NPPES record for Philip Greenspan was last updated on May 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.