PHILLIP PIFER MD
NPI 1598269722
Radiology - Radiation Oncology in Pittsburgh, PA

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
5230 CENTRE AVE, PITTSBURGH, PA 15232(412) 623-1043(412) 647-1161 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2023, May 13, 2019, Mar 21, 2018 (3 updates tracked since 2018).

About Phillip Pifer Md NPPES

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

PHILLIP PIFER MD (NPI 1598269722) is an individual radiation oncology provider in Pittsburgh, Pennsylvania, licensed in West Virginia (32522) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of West Virginia University School Of Medicine (2018).

NPPES Registry Identity

NPI1598269722
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NamePHILLIP PIFERCredential: MD
Location Address5230 CENTRE AVEPittsburgh, PA 15232
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410 · (412) 623-1043 · Fax (412) 647-1161
Fax(412) 647-1161
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1598269722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in WV · 32522
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
5230 CENTRE AVE, Pittsburgh, PA 15232

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

Phillip Pifer 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 ID5597019539
PECOS Enrollment IDI20230804000214
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 19

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
425 services47 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
206 services83 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
196 services64 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
124 services62 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
79 services68 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
65 services59 patients

Hospital Affiliations CMS Care Compare 4

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
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.

Nurse Practitioner
5230 CENTRE AVE, 613 SCAIFE HALL
PITTSBURGH, PA 15232
Physical Therapist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Specialist
5230 CENTRE AVE, SUITE 205
PITTSBURGH, PA 15232
Specialist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Pharmacist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Anesthetist, Certified Registered
5230 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Practitioner (Family)
5230 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Physician Assistant
5230 CENTRE AVE
PITTSBURGH, PA 15232

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 Pifer's NPI number?

The NPI number for Phillip Pifer is 1598269722. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Phillip Pifer located?

Phillip Pifer practices at 5230 Centre Ave, Pittsburgh, PA 15232. The listed phone number is (412) 623-1043.

What is Phillip Pifer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Phillip Pifer enrolled in Medicare?

Yes. Phillip Pifer 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 Pifer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Phillip Pifer 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 Pifer affiliated with any hospitals?

According to CMS data, Phillip Pifer is affiliated with Garrett Regional Medical Center, West Virginia University Hospitals, Inc, United Hospital Center, Inc and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Pifer was last updated on July 21, 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.