DR. TERRY M PHILLIS JR. MD
NPI 1750359030
Urology in Anniston, AL

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
82.68/100
CMS Quality Rating
622 LEIGHTON AVE, ANNISTON, AL 36207(256) 237-6717(256) 237-6717 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Terry M Phillis Jr. Md NPPES

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

DR. TERRY M PHILLIS JR. MD (NPI 1750359030) is an individual urology provider in Anniston, Alabama, licensed in Alabama (21542) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (1992).

NPPES Registry Identity

NPI1750359030
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. TERRY M PHILLIS JR.Credential: MD
Location Address622 LEIGHTON AVEAnniston, AL 36207
Mailing AddressPo Box 428, 622 Leighton AveAnniston, AL 36207 · (256) 237-6717 · Fax (256) 236-1920
Fax(256) 237-6717
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1992
Enumeration DateMarch 10, 2006
Last NPPES UpdateMarch 24, 2010
NPI 1750359030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in AL · 21542
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSpecialistTaxonomy 174400000X · License 21542 (AL)
622 LEIGHTON AVE, Anniston, AL 36207

Other Identifiers 4

Medicare PIN000076321AL
Medicaid000076321AL
Other051076321AL · Blue Cross And Blue Shiel
Medicare UPINF76972

Accepted 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. Terry M Phillis Jr. Md 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 ID2769520253
PECOS Enrollment IDI20100923001102
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 19

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 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.
494 services333 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.
76 services72 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
60 services55 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.
46 services46 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.
40 services36 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
32 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36207 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

82.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.59
Promoting Interoperability82
Improvement Activities40
Cost95.67

Reported Quality Measures

Diabetes: Eye Exam
19%110 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
60%110 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%2,302 patients4/55-star benchmark: 100%
e-Prescribing
98%581 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%867 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%1,435 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
7%1,314 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%1,293 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 40% · 846 patients
Patients screened: 42% · 846 patients
69%49 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
54%669 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%446 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 895 patients
Patients totalRate: 8% · 909 patients
8%909 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Specialist
622 LEIGHTON AVE
ANNISTON, AL 36207
Urology
622 LEIGHTON AVE
ANNISTON, AL 36207
Urology
622 LEIGHTON AVE
ANNISTON, AL 36207
Urology
622 LEIGHTON AVE
ANNISTON, AL 36207

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 Terry Phillis's NPI number?

The NPI number for Terry Phillis is 1750359030. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Terry Phillis located?

Terry Phillis practices at 622 Leighton Ave, Anniston, AL 36207. The listed phone number is (256) 237-6717.

What is Terry Phillis's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Terry Phillis enrolled in Medicare?

Yes. Terry Phillis 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 Terry Phillis accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Terry Phillis 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 Terry Phillis was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.