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DR. PAULINA PHILLIPS M.D.
NPI 1699063883
Internal Medicine - Gastroenterology in Madison, WI

Active since July 21, 2011PECOS EnrolledAccepts Medicare Assignment
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2021, Mar 13, 2017 (2 updates tracked since 2017).

About Dr. Paulina Phillips M.d. NPPES

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

DR. PAULINA PHILLIPS M.D. (NPI 1699063883) is an individual gastroenterology provider in Madison, Wisconsin, licensed in Wisconsin (60245) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Rush Medical College Of Rush University (2011).

NPPES Registry Identity

NPI1699063883
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PAULINA PHILLIPSCredential: M.D.
Location AddressUW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831Madison, WI 53792-0001
Mailing AddressUw Hospital And Clinics, 600 Highland Ave, H4/831Madison, WI 53792-0001
Phone(608) 263-6400
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2011
Enumeration DateJuly 21, 2011
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1699063883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 60245
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

UW HOSPITAL AND CLINICS, Madison, WI 53792
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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. Paulina 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 ID4587897558
PECOS Enrollment IDI20180806000822
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 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
58 services22 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.
29 services29 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.
23 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers20 claims8,560 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers166 claims12,259 services$0.32 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers44 claims7,020 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers97 claims12,920 services$0.88 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
14 suppliers156 claims157 services$17.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
15 suppliers186 claims187 services$12.34 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.

DINA MARIE PITTA MD
Surgery
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
CAN M SAVASMAN M.D.
Student in an Organized Health Care Education/Training Program
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 262-7158
JUDITH NIR M.D.
Student in an Organized Health Care Education/Training Program
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-0572
MADELYN KAY ALVAREZ MD
Internal Medicine
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-5660
DR. IAN JOSEPH KOSZEWSKI M.D.
Otolaryngology
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-0192
DR. AMIN AFRAZI MD,PH.D
Surgery
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-1377
DANIEL R MATSON
Pathology (Hematology)
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVENUE
MADISON, WI 53792
Dane County (608) 263-8443
MEGAN E PETERS M.D.
Pediatrics (Pediatric Critical Care Medicine)
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8049

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 Paulina Phillips's NPI number?

The NPI number for Paulina Phillips is 1699063883. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Paulina Phillips located?

Paulina Phillips practices at Uw Hospital And Clinics 600 Highland Ave, H4/831, Madison, WI 53792. The listed phone number is (608) 263-6400.

What is Paulina Phillips's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paulina Phillips enrolled in Medicare?

Yes. Paulina 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 Paulina Phillips accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Medica and 2 other insurers list Paulina 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 Paulina Phillips affiliated with any hospitals?

According to CMS data, Paulina Phillips is affiliated with Aspirus Wausau Hospital, Marshfield Medical Center, Fort Memorial Hospital, Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Paulina Phillips was last updated on January 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.