PHILLIP R NORTHCROSS M.C.
NPI 1831166677
Internal Medicine in Memphis, TN

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
3440 POPLAR AVE, SUITE 13, MEMPHIS, TN 38111(901) 523-7781 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phillip R Northcross M.c. NPPES

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

PHILLIP R NORTHCROSS M.C. (NPI 1831166677) is an individual internal medicine provider in Memphis, Tennessee, licensed in Tennessee (MD017326) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1831166677
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILLIP R NORTHCROSSCredential: M.C.
Location Address3440 POPLAR AVE, SUITE 13Memphis, TN 38111-4653
Mailing Address3445 Poplar Ave, Ste 13Memphis, TN 38111-4667 · (901) 523-7781
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 1, 2006
Last NPPES UpdateJune 17, 2016
NPI 1831166677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · MD017326
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.

3440 POPLAR AVE, Memphis, TN 38111

Other Identifiers 4

Medicaid3020931TN
Other3061799TN · Bcbst
Medicare UPINA98468
Medicare ID-Type Unspecified3020931TN · Tn Medicare

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

Phillip R Northcross M.c. 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 ID3577553379
PECOS Enrollment IDI20040513001486
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 13

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
239 services68 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.
232 services69 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.
79 services35 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.
66 services36 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
58 services28 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.
49 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38111 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims44 services$4.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Phillip Northcross's NPI number?

The NPI number for Phillip Northcross is 1831166677. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Phillip Northcross located?

Phillip Northcross practices at 3440 Poplar Ave Suite 13, Memphis, TN 38111. The listed phone number is (901) 523-7781.

What is Phillip Northcross's specialty?

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

Is Phillip Northcross enrolled in Medicare?

Yes. Phillip Northcross 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 Phillip Northcross accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc. and Oscar Insurance Company list Phillip Northcross 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 Phillip Northcross affiliated with any hospitals?

According to CMS data, Phillip Northcross is affiliated with Baptist Memorial Hospital and Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Phillip Northcross was last updated on June 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.