MR. PHILLIP DANIEL GOLDSBOROUGH
NPI 1750081550
Nurse Practitioner - Psychiatric/Mental Health in Princess Anne, MD

Q: What is Phillip Goldsborough's NPI number?

The NPI number for Phillip Goldsborough is 1750081550. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Q: What is Phillip Goldsborough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 09, 2023PECOS EnrolledAccepts Medicare Assignment

12145 ELM ST, PRINCESS ANNE, MD 21853(410) 651-2204(410) 651-0790 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2024, Mar 9, 2023 (2 updates tracked since 2023).

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About Mr. Phillip Daniel Goldsborough NPPES

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

MR. PHILLIP DANIEL GOLDSBOROUGH (NPI 1750081550) is an individual psychiatric/mental health provider in Princess Anne, Maryland, licensed in Maryland (R193305) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1750081550

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. PHILLIP DANIEL GOLDSBOROUGH

Location Address12145 ELM STPrincess Anne, MD 21853-1358

Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654

Phone(410) 651-2204

Fax(410) 651-0790

Sole ProprietorYes

Medical School CMSWake Forest University School Of MedicineGraduated 2022

Enumeration DateMarch 9, 2023

Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1750081550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R193305

12145 ELM ST, Princess Anne, MD 21853

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Secondary Practice Location 1

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (202) 360-4787 · Fax (202) 360-4787

Other Identifiers 1

Medicaid119591300MD

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

Mr. Phillip Daniel Goldsborough 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 ID2769848068

PECOS Enrollment IDI20230511000898, I20230831001239

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

42 services26 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

33 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210003

Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County

Emergency services Birthing friendly

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210019

Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County

Emergency services Birthing friendly

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210028

Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21853 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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 20

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

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