DR. HADLEY H PHILLIPS DO
NPI 1629036306
Ophthalmology in Elmwood Park, NJ

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
87.52/100
CMS Quality Rating
619 RIVER DR, ELMWOOD PARK, NJ 07407(201) 796-2020(201) 796-4833 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hadley H Phillips Do NPPES

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

DR. HADLEY H PHILLIPS DO (NPI 1629036306) is an individual ophthalmology provider in Elmwood Park, New Jersey, licensed in New Jersey (25MB04177700) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1978).

NPPES Registry Identity

NPI1629036306
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. HADLEY H PHILLIPSCredential: DO
Location Address619 RIVER DRElmwood Park, NJ 07407-1317
Mailing Address619 River DrElmwood Park, NJ 07407-1317 · (201) 796-2020 · Fax (201) 796-4833
Fax(201) 796-4833
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1978
Enumeration DateMay 3, 2006
Last NPPES UpdateFebruary 14, 2012
NPI 1629036306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MB04177700
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
619 RIVER DR, Elmwood Park, NJ 07407

Other Identifiers 18

Other14D63NJ · Empire Bcbs
Other1042831NJ · Horizon Nj Health Pin
Other0091878NJ · Aetna Pin
Medicaid3163202NJ
Other0073085NJ · Ghi Hmo Pin
OtherOK7453NJ · Healthnet Pin
Other0804391006NJ · Cigna Pin
Other16228NJ · University Health Plan
Medicare UPINE06202NJ
OtherAMERIHEALTHNJ · 00102907000
Other01000189401NJ · Americhoice Medicaid Pin
Other01682888NJ · Medicaid Ny
Other10D631NJ · Wellchoice
Medicare ID-Type Unspecified449699CNSNJ
Other176769NJ · United Healthcare Pin
Other180001612NJ · Railroad Medicare Pin
OtherBS807NJ · Oxford Liberty Pin
Other16183NJ · Amerigroup Pin

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

Dr. Hadley H Phillips Do 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 ID5991608473
PECOS Enrollment IDI20040428001354
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 12

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
269 services166 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
224 services180 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.
139 services138 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
127 services81 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.
71 services70 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
57 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07407 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

87.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability92
Improvement Activities40
Cost60.88

Other Providers at the Same Location NPPES 16

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

Anesthesiology
619 RIVER DR, SUITE 201
ELMWOOD PARK, NJ 07407
Ophthalmology
619 RIVER DR, PHILLIPS EYE CENTER
ELMWOOD PARK, NJ 07407
Specialist
619 RIVER DR
ELMWOOD PARK, NJ 07407
Specialist
619 RIVER DR
ELMWOOD PARK, NJ 07407
Specialist
619 RIVER DR
ELMWOOD PARK, NJ 07407
Specialist
619 RIVER DR
ELMWOOD PARK, NJ 07407
Optometrist
619 RIVER DR, PHILLIPS EYE CENTER
ELMWOOD PARK, NJ 07407
Ophthalmology
619 RIVER DR, SECOND FLOOR
ELMWOOD PARK, NJ 07407

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 Hadley Phillips's NPI number?

The NPI number for Hadley Phillips is 1629036306. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Hadley Phillips located?

Hadley Phillips practices at 619 River Dr, Elmwood Park, NJ 07407. The listed phone number is (201) 796-2020.

What is Hadley Phillips's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Hadley Phillips enrolled in Medicare?

Yes. Hadley 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 Hadley Phillips accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hadley 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.

When was this NPI record last updated?

The NPPES record for Hadley Phillips was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.