THOMAS G PHILLIPS MD
NPI 1912966813
Family Medicine in Washington, PA

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
95 LEONARD AVE, BLDG 2, WASHINGTON, PA 15301(724) 223-3100(724) 223-3353 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thomas G Phillips Md NPPES

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

THOMAS G PHILLIPS MD (NPI 1912966813) is an individual family medicine provider in Washington, Pennsylvania, licensed in Pennsylvania (MD024238E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Hahnemann University College Of Medicine (1979).

NPPES Registry Identity

NPI1912966813
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS G PHILLIPSCredential: MD
Location Address95 LEONARD AVE, BLDG 2Washington, PA 15301-3368
Mailing Address95 Leonard Ave, Bldg 2Washington, PA 15301-3368 · (724) 223-3100 · Fax (724) 223-3353
Fax(724) 223-3353
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1979
Enumeration DateMarch 20, 2006
Last NPPES UpdateJune 2, 2008
✔ NPI 1912966813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD024238E
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.
95 LEONARD AVE, Washington, PA 15301

Other Names 1

Other Name (5)T. Grant Phillips Md

Other Identifiers 8

Medicare PIN038449JXY
Other102893Upmc
Other77391Unison
Medicare UPINC28351
OtherP002050Gateway
Other000038449Highmark
Medicaid0010170490004PA
Medicare PIN080121970

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

Thomas G 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 ID1557342920
PECOS Enrollment IDI20040601000553
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 Thomas Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
95 LEONARD AVE, BLDG 2
Washington, PA 15301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 54 clinicians in this Medicare group
General Acute Care Hospital
501 HOWARD AVE, SUITE F2
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1437100765 (Pennsylvania)
  • 54 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 3

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.

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 services17 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.
47 services35 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.
31 services25 patients

Hospital Affiliations CMS Care Compare

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 20

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

Surgery
95 LEONARD AVE, SUITE 301
WASHINGTON, PA 15301
Orthopaedic Surgery (Sports Medicine)
95 LEONARD AVE
WASHINGTON, PA 15301
Family Medicine
95 LEONARD AVE, BLDG 2
WASHINGTON, PA 15301
Family Medicine
95 LEONARD AVE, BUILDING 2 SECOND FLOOR
WASHINGTON, PA 15301
Psychiatry & Neurology (Psychiatry)
95 LEONARD AVE, STE 300
WASHINGTON, PA 15301
Orthopaedic Surgery (Sports Medicine)
95 LEONARD AVE, SUITE 201
WASHINGTON, PA 15301
Physician Assistant
95 LEONARD AVE, BUILDING #1 SUITE 300
WASHINGTON, PA 15301
Nurse Anesthetist, Certified Registered
95 LEONARD AVE
WASHINGTON, PA 15301

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 Thomas Phillips's NPI number?

The NPI number for Thomas Phillips is 1912966813. It was assigned to this individual provider in the NPPES registry on March 20, 2006. The provider is also known as T. Grant Phillips MD.

Where is Thomas Phillips located?

Thomas Phillips practices at 95 Leonard Ave Bldg 2, Washington, PA 15301. The listed phone number is (724) 223-3100.

What is Thomas Phillips's specialty?

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

Is Thomas Phillips enrolled in Medicare?

Yes. Thomas 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.

Which organizations bill Medicare for Thomas Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Phillips reassigns Medicare benefits to 2 organizations: Upmc Washington (Washington, PA) and Upmc Altoona (Altoona, PA). 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 Thomas Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Phillips accept?

Health plans from CareSource list Thomas 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 Thomas Phillips affiliated with any hospitals?

According to CMS data, Thomas Phillips is affiliated with Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Thomas Phillips was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.