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DR. BROCK A PHILLIPS MD
NPI 1710407002
Pediatrics in Chatham, IL

Active since June 27, 2017PECOS Enrolled
125 E PLUMMER BLVD STE A, CHATHAM, IL 62629(314) 454-6006 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2026, Jan 3, 2022, Jul 7, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Brock A Phillips Md NPPES

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

DR. BROCK A PHILLIPS MD (NPI 1710407002) is an individual pediatrics provider in Chatham, Illinois, licensed in Illinois (036152530) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1710407002
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BROCK A PHILLIPSCredential: MD
Location Address125 E PLUMMER BLVD STE AChatham, IL 62629-8136
Mailing Address1952 Long Grove Dr Ste 202Mount Pleasant, SC 29464-7579 · (843) 573-2535 · Fax (843) 573-2534
Phone(314) 454-6006
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateMarch 27, 20264 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1710407002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036152530
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
125 E PLUMMER BLVD STE A, Chatham, IL 62629
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Secondary Practice Location 1

Location 11952 Long Grove Dr Ste 202Mount Pleasant, SC 29464-7579 · Phone (843) 573-2535 · Fax (843) 573-2534

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Medica, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brock A Phillips Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brock Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hshs Prairie, Inc
4.9 mi
Multi-Specialty
3051 HOLLIS DR
Springfield, IL 62704
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1962644807 (217) 523-5406
Carolina Family Care, Inc
600 mi
Internal Medicine
201 W MEETING ST
Lancaster, SC 29720
  • Reassigned Medicare billing, South Carolina enrollment
  • 509 clinicians in this Medicare group
NPI 1275564098 (803) 286-4666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62629 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 6

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

MISS SAHAR YAZDANI M.D.
Family Medicine
125 E PLUMMER BLVD STE A
CHATHAM, IL 62629
Sangamon County (217) 483-3333
DR. KENNETH WAYNE SCHMIDT MD
Family Medicine
125 E PLUMMER BLVD STE A
CHATHAM, IL 62629
Sangamon County (217) 483-3333
JAMES T CRABTREE M.D.
Family Medicine
125 E PLUMMER BLVD STE A
CHATHAM, IL 62629
Sangamon County (217) 483-3333
UMAMA SADIA MD
Family Medicine
125 E PLUMMER BLVD STE A
CHATHAM, IL 62629
Sangamon County (217) 483-3333
JOHN C ROLLET M.D.
Family Medicine
125 E PLUMMER BLVD STE A
CHATHAM, IL 62629
Sangamon County (217) 483-3333
MRS. ANGELA FAITH MCCORMICK NP
Nurse Practitioner
125 E PLUMMER BLVD STE A
CHATHAM, IL 62629
Sangamon County (174) 833-3332

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 Brock Phillips's NPI number?

The NPI number for Brock Phillips is 1710407002. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Brock Phillips located?

Brock Phillips practices at 125 E Plummer Blvd Ste A, Chatham, IL 62629. The listed phone number is (314) 454-6006.

What is Brock Phillips's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brock Phillips enrolled in Medicare?

Yes. Brock Phillips is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brock Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Phillips reassigns Medicare benefits to 2 organizations: Hshs Prairie, Inc (Springfield, IL) and Carolina Family Care, Inc (Lancaster, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brock Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brock Phillips accept?

Health plans from BlueCross BlueShield of South Carolina, Medica, Molina Healthcare and UnitedHealthcare list Brock 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 Brock Phillips was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.