PHILLIP A WOLFE M.D.
NPI 1710075411
Internal Medicine - Gastroenterology in Pleasanton, CA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
12.14/100
CMS Quality Rating
5575 W LAS POSITAS BLVD, SUITE 320, PLEASANTON, CA 94588(925) 460-8167(925) 460-0913 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phillip A Wolfe M.d. NPPES

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

PHILLIP A WOLFE M.D. (NPI 1710075411) is an individual gastroenterology provider in Pleasanton, California, licensed in California (G83272) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1710075411
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePHILLIP A WOLFECredential: M.D.
Location Address5575 W LAS POSITAS BLVD, SUITE 320Pleasanton, CA 94588-5801
Mailing Address5575 W Las Positas Blvd, Suite 320Pleasanton, CA 94588-5801 · (925) 460-8167
Fax(925) 460-0913
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1710075411 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 CA · G83272
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.
5575 W LAS POSITAS BLVD, Pleasanton, CA 94588

Other Identifiers 2

Medicaid00G832720CA
OtherG83272CA · State License

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 A Wolfe 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 ID5193824738
PECOS Enrollment IDI20081215000220
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 13

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.

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.
279 services202 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
200 services195 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
183 services181 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
149 services148 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.
76 services76 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

12.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost40.48

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
2 suppliers34 claims1,020 services$11.15 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
2 suppliers34 claims238 services$279.28 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
2 suppliers26 claims238 services$7.99 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
2 suppliers34 claims238 services$24.97 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.

Nurse Practitioner (Women's Health)
5575 W LAS POSITAS BLVD, #330
PLEASANTON, CA 94588
Dermatology
5575 W LAS POSITAS BLVD, 220
PLEASANTON, CA 94588
Surgery (Surgical Oncology)
5575 W LAS POSITAS BLVD, 270
PLEASANTON, CA 94588
Family Medicine
5575 W LAS POSITAS BLVD, # 130
PLEASANTON, CA 94588
Surgery
5575 W LAS POSITAS BLVD, #270
PLEASANTON, CA 94588
Ophthalmology
5575 W LAS POSITAS BLVD, SUITE 240
PLEASANTON, CA 94588
Internal Medicine
5575 W LAS POSITAS BLVD, #130
PLEASANTON, CA 94588
Optometrist
5575 W LAS POSITAS BLVD, #240
PLEASANTON, CA 94588

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 Wolfe's NPI number?

The NPI number for Phillip Wolfe is 1710075411. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Phillip Wolfe located?

Phillip Wolfe practices at 5575 W Las Positas Blvd Suite 320, Pleasanton, CA 94588. The listed phone number is (925) 460-8167.

What is Phillip Wolfe's specialty?

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

Is Phillip Wolfe enrolled in Medicare?

Yes. Phillip Wolfe 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.

When was this NPI record last updated?

The NPPES record for Phillip Wolfe was last updated on March 7, 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.