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KIMBERLY R PHIPPS MD
NPI 1790773943
Obstetrics & Gynecology - Gynecology in Greenville, SC

Active since October 12, 2005PECOS Enrolled
777 LOWNDES HILL RD, GREENVILLE, SC 29607(864) 908-3530 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly R Phipps Md NPPES

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

KIMBERLY R PHIPPS MD (NPI 1790773943) is an individual gynecology provider in Greenville, South Carolina, licensed in California (C55814) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790773943
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameKIMBERLY R PHIPPSCredential: MD
Location Address777 LOWNDES HILL RDGreenville, SC 29607-2101
Mailing Address777 Lowndes Hill RdGreenville, SC 29607-2101
Phone(864) 908-3530
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1790773943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · C55814
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
777 LOWNDES HILL RD, Greenville, SC 29607
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly R Phipps 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 Reassignment

Medicare enrollment records show Kimberly Phipps reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Los Angeles Free Clinic
2,042 mi
Federally Qualified Health Center (FQHC)
5205 MELROSE AVE
Los Angeles, CA 90038
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
NPI 1336281179 (323) 653-8622

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 29607 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 2

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

DJENABRA M CROSKEY MD
Obstetrics & Gynecology
777 LOWNDES HILL RD
GREENVILLE, SC 29607
Greenville County (864) 908-3530
DR. CARRIE C KLETT MD
Obstetrics & Gynecology
777 LOWNDES HILL RD
GREENVILLE, SC 29607
Greenville County (864) 285-9476

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 Kimberly Phipps's NPI number?

The NPI number for Kimberly Phipps is 1790773943. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Kimberly Phipps located?

Kimberly Phipps practices at 777 Lowndes Hill Rd, Greenville, SC 29607. The listed phone number is (864) 908-3530.

What is Kimberly Phipps's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Kimberly Phipps enrolled in Medicare?

Yes. Kimberly Phipps is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Phipps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Phipps reassigns Medicare benefits to The Los Angeles Free Clinic (Los Angeles, CA). The 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 Kimberly Phipps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Phipps was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.