DR. DOUGLAS R PHILLIPS MD
NPI 1649254004
Obstetrics & Gynecology in Bay Shore, NY

Q: What is Douglas Phillips's NPI number?

The NPI number for Douglas Phillips is 1649254004. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Douglas Phillips's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Phillips was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

375 E MAIN ST, BAY SHORE, NY 11706(631) 646-1001(631) 646-9803 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Douglas R Phillips Md NPPES

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

DR. DOUGLAS R PHILLIPS MD (NPI 1649254004) is an individual obstetrics & gynecology provider in Bay Shore, New York, licensed in New York (130753) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1975).

NPPES Registry Identity

NPI1649254004

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. DOUGLAS R PHILLIPSCredential: MD

Location Address375 E MAIN STBay Shore, NY 11706-8418

Mailing Address375 E Main StBay Shore, NY 11706-8418 · (631) 646-1001 · Fax (631) 646-9803

Phone(631) 646-1001

Fax(631) 646-9803

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 1975

Enumeration DateNovember 30, 2005

Last NPPES UpdateMay 1, 2026

NPPES CertifiedMay 1, 2026

✔ NPI 1649254004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 130753

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

375 E MAIN ST, Bay Shore, NY 11706

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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. Douglas R Phillips 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 ID8628155611

PECOS Enrollment IDI20080407000197

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

154 services143 patients

Smear for infectious agents 87210

A smear for infectious agents is a simple test done to identify harmful microorganisms in your body. A sample is taken from your body, spread thinly onto a slide, and examined under a microscope. This helps in diagnosing various infections and diseases.

120 services119 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

119 services119 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

106 services106 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

103 services103 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.

66 services60 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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.

MICHAEL POLIDORO PA

Physician Assistant

375 E MAIN ST, STE 1
BAY SHORE, NY 11706

Suffolk County (631) 665-8790

PAUL HOWARD BROOMFIELD MD

Internal Medicine (Gastroenterology)

375 E MAIN ST, STE 21
BAY SHORE, NY 11706

Suffolk County (631) 968-8288

DR. STEPHEN ALLAN LEWEN MD

Ophthalmology

375 E MAIN ST, SUITE 24
BAY SHORE, NY 11706

Suffolk County (631) 665-1330

WESTERN SUFFOLK GASTROENTEROLOGY ASSOC LLP

Internal Medicine (Gastroenterology)

375 E MAIN ST, STE 21
BAY SHORE, NY 11706

Suffolk County (631) 968-8288

DR. MICHAEL ERIC TUCKER DDS

Dentist (General Practice)

375 E MAIN ST, 16
BAY SHORE, NY 11706

Suffolk County (516) 665-3707

FRANK JOSEPH KARPOWICZ MD

Internal Medicine (Gastroenterology)

375 E MAIN ST, STE 21
BAY SHORE, NY 11706

Suffolk County (631) 968-8288

MICHAEL SHAPIRO M.D.

Radiology (Diagnostic Radiology)

375 E MAIN ST, SUITE 12
BAY SHORE, NY 11706

Suffolk County (631) 666-5620

AMANDA NEUBAUER

Audiologist

375 E MAIN ST, SUITE 17 ENTANDALLERGY
BAY SHORE, NY 11706

Suffolk County (631) 665-2430

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 Douglas Phillips's NPI number?

The NPI number for Douglas Phillips is 1649254004. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Douglas Phillips located?

Douglas Phillips practices at 375 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 646-1001.

What is Douglas Phillips's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Douglas Phillips enrolled in Medicare?

Yes. Douglas 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.

Is Douglas Phillips affiliated with any hospitals?

According to CMS data, Douglas Phillips is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Phillips was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.