DR. JACOB W PHILLIPS M.D.
NPI 1730317868
General Practice in North Chili, NY

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
4201 BUFFALO ROAD, SUITE 1, NORTH CHILI, NY 14514(585) 594-5995(585) 594-5425 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2023, Feb 2, 2023 (2 updates tracked since 2023).

About Dr. Jacob W Phillips M.d. NPPES

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

DR. JACOB W PHILLIPS M.D. (NPI 1730317868) is an individual general practice provider in North Chili, New York, licensed in New York (320916) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1730317868
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JACOB W PHILLIPSCredential: M.D.
Location Address4201 BUFFALO ROAD, SUITE 1North Chili, NY 14514-1256
Mailing AddressPo Box 505North Chili, NY 14514-0505 · (585) 594-5995 · Fax (585) 594-5425
Fax(585) 594-5425
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 26, 2009
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
NPI 1730317868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NY · 320916
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4201 BUFFALO ROAD, SUITE 1, North Chili, NY 14514

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. Jacob W 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 ID7911370606
PECOS Enrollment IDI20230228000803
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 4

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.
100 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Nurse Practitioner
4201 BUFFALO ROAD, SUITE 1
NORTH CHILI, NY 14514

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 Jacob Phillips's NPI number?

The NPI number for Jacob Phillips is 1730317868. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Jacob Phillips located?

Jacob Phillips practices at 4201 Buffalo Road, Suite 1, North Chili, NY 14514. The listed phone number is (585) 594-5995.

What is Jacob Phillips's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jacob Phillips enrolled in Medicare?

Yes. Jacob 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 Jacob Phillips affiliated with any hospitals?

According to CMS data, Jacob Phillips is affiliated with Rochester General Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Phillips was last updated on February 28, 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.