DR. AUSTIN MCPHILAMY M.D.
NPI 1811212236
Orthopaedic Surgery in Lubbock, TX
About Dr. Austin Mcphilamy M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AUSTIN MCPHILAMY M.D. (NPI 1811212236) is an individual orthopaedic surgery provider in Lubbock, Texas, licensed in Texas (T6313) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and maintains a secondary practice location in Texarkana.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Austin Mcphilamy 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.
Medicare Billing Reassignments
6Medicare enrollment records show Austin Mcphilamy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lubbock, TX 79416
- Reassigned Medicare billing, Texas enrollment
- 15 clinicians in this Medicare group
Lubbock, TX 79430
- Reassigned Medicare billing, Texas enrollment
- 685 clinicians in this Medicare group
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Atlanta, TX 75551
- Reassigned Medicare billing, Texas enrollment
- 76 clinicians in this Medicare group
Scottsbluff, NE 69361
- Reassigned Medicare billing, Nebraska enrollment
- Medicare enrollment name: Regional West Physicians Clinic
- 208 clinicians in this Medicare group
Gregory, SD 57533
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Regional West Medical Center
Acute Care Hospitals · Scottsbluff, NEAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDChristus St Michael Health System
Acute Care Hospitals · Texarkana, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Austin Mcphilamy's NPI number?
The NPI number for Austin Mcphilamy is 1811212236. It was assigned to this individual provider in the NPPES registry on March 29, 2010.
Where is Austin Mcphilamy located?
Austin Mcphilamy practices at 301 Utica Ave, Lubbock, TX 79416. The listed phone number is (806) 797-4985.
What is Austin Mcphilamy's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Austin Mcphilamy enrolled in Medicare?
Yes. Austin Mcphilamy 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.
Which organizations bill Medicare for Austin Mcphilamy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Austin Mcphilamy reassigns Medicare benefits to 6 organizations: Center For Orthopedic Surgery L.L.P. (Lubbock, TX), Texas Tech University Health Sciences Center Lubbock (Lubbock, TX), Christus Trinity Clinic Texas (Tyler, TX), Christus Health Ark-La-Tex (Atlanta, TX), Panhandle Health Service (Scottsbluff, NE) and 1 more organization, listed in the Medicare section above. Each 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 Austin Mcphilamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Austin Mcphilamy accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, Health Advantage, Octave and Oscar Insurance Company and 2 other insurers list Austin Mcphilamy 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 Austin Mcphilamy affiliated with any hospitals?
According to CMS data, Austin Mcphilamy is affiliated with Regional West Medical Center, Avera Mckennan Hospital & University Health Center and Christus St Michael Health System.
When was this NPI record last updated?
The NPPES record for Austin Mcphilamy was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Dr. Austin Mcphilamy, M.D. · NPI 1811212236
Orthopaedic Surgery physician in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since March 29, 2010.
## Identity
- **NPI:** 1811212236 (Entity type: Individual)
- **Enumerated:** March 29, 2010
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** T6313 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 UTICA AVE, Lubbock, TX 79416-3111
- **Phone:** (806) 797-4985 · **Fax:** (806) 792-8588
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Center For Orthopedic Surgery L.L.P. (NPI 1093873176, Lubbock, TX); Texas Tech University Health Sciences Center Lubbock (NPI 1538239769, Lubbock, TX); Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); Christus Health Ark-La-Tex (NPI 1871916650, Atlanta, TX); Panhandle Health Service (NPI 1790866762, Scottsbluff, NE); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** November 18, 2025
- **Other identifiers:** Medicaid 1811212236 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1811212236) · Data from the CMS NPPES public registry.