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MR. WILLIAM E PHILIPPI MD
NPI 1881692010
Psychiatry & Neurology - Neurology in Augusta, GA

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
820 SAINT SEBASTIAN WAY STE 4-A, AUGUSTA, GA 30901(706) 774-5995(706) 774-5792 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Jul 11, 2017 (2 updates tracked since 2017).

About Mr. William E Philippi Md NPPES

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

MR. WILLIAM E PHILIPPI MD (NPI 1881692010) is an individual neurology provider in Augusta, Georgia, licensed in Georgia (072080) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881692010
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. WILLIAM E PHILIPPICredential: MD
Location Address820 SAINT SEBASTIAN WAY STE 4-AAugusta, GA 30901-2643
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-5795 · Fax (706) 774-5792
Phone(706) 774-5995
Fax(706) 774-5792
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1986
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1881692010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 072080
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
820 SAINT SEBASTIAN WAY STE 4-A, Augusta, GA 30901
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11350 Walton WayAugusta, GA 30901-2612 · Phone (706) 774-7263 · Fax (706) 774-7230
Location 24321 University Pkwy Ste 101Evans, GA 30809-3093 · Phone (706) 774-7263 · Fax (706) 774-7230

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mr. William E Philippi 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 ID2264409242
PECOS Enrollment IDI20140721000728
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 Reassignments

2

Medicare enrollment records show William Philippi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Hospitalist Physicians LLC
130 mi
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
NPI 1548219660 (770) 801-2500
Piedmont Providers LLC
160 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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 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.

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.
371 services287 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services121 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
105 services105 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
64 services39 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
61 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

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…
100%318 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

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

High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$26.09 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 William Philippi's NPI number?

The NPI number for William Philippi is 1881692010. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is William Philippi located?

William Philippi practices at 820 Saint Sebastian Way Ste 4-A, Augusta, GA 30901. The listed phone number is (706) 774-5995.

What is William Philippi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is William Philippi enrolled in Medicare?

Yes. William Philippi 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 William Philippi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Philippi reassigns Medicare benefits to 2 organizations: Piedmont Hospitalist Physicians LLC (Stockbridge, GA) and Piedmont Providers LLC (Jasper, GA). 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 William Philippi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Philippi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list William Philippi 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 William Philippi affiliated with any hospitals?

According to CMS data, William Philippi is affiliated with Piedmont Augusta Hospital, Au Medical Center, University Mcduffie County Regional Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for William Philippi was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.