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PHILLIPS CAO
NPI 1891159745
Family Medicine in Callahan, FL

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
450077 STATE ROAD 200 STE 12, CALLAHAN, FL 32011(904) 633-0561(315) 801-3565 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phillips Cao NPPES

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

PHILLIPS CAO (NPI 1891159745) is an individual family medicine provider in Callahan, Florida, licensed in Florida (ME140356) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891159745
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILLIPS CAO
Location Address450077 STATE ROAD 200 STE 12Callahan, FL 32011-3863
Mailing Address120 Hobart StUtica, NY 13501-4308 · (315) 801-1149 · Fax (315) 801-3565
Phone(904) 633-0561
Fax(315) 801-3565
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 7, 2016
Last NPPES UpdateJune 18, 2019
✔ NPI 1891159745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME140356
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

450077 STATE ROAD 200 STE 12, Callahan, FL 32011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Phillips Cao 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 ID7719272020
PECOS Enrollment IDI20190718001135
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 7

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, 20-29 minutes 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.
139 services83 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
122 services83 patients
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.
83 services66 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.
44 services44 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services34 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32011 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 3

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
2 suppliers16 claims26 services$3.79 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$3.44 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$214.92 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 5

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

DR. CHARLES MICHAEL DAY M.D.
Family Medicine
450077 STATE ROAD 200 STE 12, UFJP CALLAHAN FAMILY PRACTICE
CALLAHAN, FL 32011
Nassau County (904) 633-0560
DR. WILLIAM CURTIS SOLOMON JR. M.D.
Family Medicine
450077 STATE ROAD 200 STE 12, UFJP CALLAHAN FAMILY PRACTICE CENTER
CALLAHAN, FL 32011
Nassau County (904) 633-0560
DR. TIMEA ALEXANDRA KECSKEMETI-KOVACS M.D.
Family Medicine
450077 STATE ROAD 200 STE 12, UFJP CALLAHAN FAMILY PRACTICE
CALLAHAN, FL 32011
Nassau County (904) 633-0560
BRETT J LAWSON
Family Medicine
450077 STATE ROAD 200 STE 12
CALLAHAN, FL 32011
Nassau County (904) 633-0560
ELIZABETH CRAWFORD
Nurse Practitioner (Family)
450077 STATE ROAD 200 STE 12
CALLAHAN, FL 32011
Nassau County (904) 633-0560

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 Phillips Cao's NPI number?

The NPI number for Phillips Cao is 1891159745. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Phillips Cao located?

Phillips Cao practices at 450077 State Road 200 Ste 12, Callahan, FL 32011. The listed phone number is (904) 633-0561.

What is Phillips Cao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phillips Cao enrolled in Medicare?

Yes. Phillips Cao 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 Phillips Cao accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Phillips Cao 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 Phillips Cao affiliated with any hospitals?

According to CMS data, Phillips Cao is affiliated with Shands Jacksonville, Baptist Health Medical Center - Jacksonville and Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phillips Cao was last updated on June 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.