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DR. LARA PHILLIPS M.D.
NPI 1609160993
Emergency Medicine in Philadelphia, PA

Active since June 03, 2011PECOS EnrolledAccepts Medicare Assignment
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107(215) 955-6844(215) 955-2526 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lara Phillips M.d. NPPES

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

DR. LARA PHILLIPS M.D. (NPI 1609160993) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD453744) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Vanderbilt University School Of Medicine (2011).

NPPES Registry Identity

NPI1609160993
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. LARA PHILLIPSCredential: M.D.
Location Address1020 SANSOM ST, SUITE 239Philadelphia, PA 19107-5002
Mailing Address1020 Sansom St, Suite 239Philadelphia, PA 19107-5002 · (215) 955-6844 · Fax (215) 955-2526
Phone(215) 955-6844
Fax(215) 955-2526
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2011
Enumeration DateJune 3, 2011
Last NPPES UpdateAugust 8, 2017
✔ NPI 1609160993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD453744✔ Licensed in MA · 257774✔ Licensed in TN · MD0000049128
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1020 SANSOM ST, Philadelphia, PA 19107
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Other Names 1

Former Name (1)Dr. Lara Hershcovitch M.d.

Other Identifiers 4

Medicaid103039208 0001PA
Medicaid103039208 0002PA
Medicare PIN422101PA
Medicaid0466581NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Lara Phillips 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 ID2466675863
PECOS Enrollment IDI20150721000921
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 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
74 services72 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services54 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services49 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 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.
14 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

DR. RIKA N OMALLEY M.D.
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
DR. SHRUTI CHANDRA MD
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
DR. ALEXANDER A KLEINMANN M.D.
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
MS. BONNIE ROBERTSON CRNP
Nurse Practitioner (Family)
1020 SANSOM ST, TJU, 239 THOMPSON BLDG
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-4442
ANNA MARIE CHIAYU CHANG MD
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
VICTORIA KIM LERI
Nurse Practitioner (Acute Care)
1020 SANSOM ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
DR. DANIEL HANA HALPREN-RUDER M.D.
Emergency Medicine
1020 SANSOM ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
CHRISTINA HARTWELL
Nurse Practitioner (Adult Health)
1020 SANSOM ST, 239 THOMPSON BUILDING
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-4356

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 Lara Phillips's NPI number?

The NPI number for Lara Phillips is 1609160993. It was assigned to this individual provider in the NPPES registry on June 3, 2011. The provider is also known as Dr. Lara Hershcovitch M.D..

Where is Lara Phillips located?

Lara Phillips practices at 1020 Sansom St Suite 239, Philadelphia, PA 19107. The listed phone number is (215) 955-6844.

What is Lara Phillips's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lara Phillips enrolled in Medicare?

Yes. Lara 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.

What insurance does Lara Phillips accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lara 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 Lara Phillips affiliated with any hospitals?

According to CMS data, Lara Phillips is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Lara Phillips was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.