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HEATHER PHILLIPS MD
NPI 1801007596
Internal Medicine in Smyrna, TN

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
741 PRESIDENT PL, SUITE 200, SMYRNA, TN 37167(615) 459-7104 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Phillips Md NPPES

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

HEATHER PHILLIPS MD (NPI 1801007596) is an individual internal medicine provider in Smyrna, Tennessee, licensed in Tennessee (42802) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Tristar Stonecrest Medical Center, and is a graduate of University Of Alabama School Of Medicine (2003).

NPPES Registry Identity

NPI1801007596
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEATHER PHILLIPSCredential: MD
Location Address741 PRESIDENT PL, SUITE 200Smyrna, TN 37167-6807
Mailing Address649 Rambush DrMurfreesboro, TN 37128-5129
Phone(615) 459-7104
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2003
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 20, 2012
✔ NPI 1801007596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 42802
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 42802 (TN)
741 PRESIDENT PL, Smyrna, TN 37167
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Heather Phillips 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 ID1658453279
PECOS Enrollment IDI20080204000629
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 9

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.
257 services140 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
118 services118 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.
114 services114 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
106 services106 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
76 services12 patients
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.
35 services33 patients

Hospital Affiliations CMS Care Compare

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

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%73 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%118 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%59 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims43 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims17 services$1.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

NURTURE PEDIATRICS, PLLC
Pediatrics
741 PRESIDENT PL, SUITE 210
SMYRNA, TN 37167
Rutherford County (615) 223-5565
DR. HILLARY H. HUNT MD
Internal Medicine
741 PRESIDENT PL, SUITE 200
SMYRNA, TN 37167
Rutherford County (615) 459-7104
DR. CATHERINE SIPE BOTTOMS M.D.
Pediatrics (Adolescent Medicine)
741 PRESIDENT PL, SUITE 210
SMYRNA, TN 37167
Rutherford County (615) 223-5565
IAN ROBERT FRASER
Physical Therapist
741 PRESIDENT PL, SUITE 130
SMYRNA, TN 37167
Rutherford County (615) 220-0086
MITCHELL ANDREW PULLIAS MD
Pediatrics
741 PRESIDENT PL, STE 200
SMYRNA, TN 37167
Rutherford County (615) 459-7104
MISS FELISA L GILBERT MD
Pediatrics
741 PRESIDENT PL, SUITE 200
SMYRNA, TN 37167
Rutherford County (615) 459-7104
DR. MATTHEW LANE PERKINS MD
Internal Medicine
741 PRESIDENT PL, SUITE 200
SMYRNA, TN 37167
Rutherford County (615) 459-7104
KEVIN ANTHONY SLIWINSKI P.T.
Physical Therapist
741 PRESIDENT PL, SUITE 130
SMYRNA, TN 37167
Rutherford County (615) 220-0086

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 Heather Phillips's NPI number?

The NPI number for Heather Phillips is 1801007596. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Heather Phillips located?

Heather Phillips practices at 741 President Pl Suite 200, Smyrna, TN 37167. The listed phone number is (615) 459-7104.

What is Heather Phillips's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Heather Phillips enrolled in Medicare?

Yes. Heather 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.

What insurance does Heather Phillips accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Heather 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.

Is Heather Phillips affiliated with any hospitals?

According to CMS data, Heather Phillips is affiliated with Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Phillips was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.