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JAMES EDWARD PHILLIPS III MD
NPI 1912988189
Orthopaedic Surgery in Wellesley, MA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
230 WORCESTER ST, WELLESLEY, MA 02481(617) 654-7111(617) 654-7111 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Edward Phillips Iii Md NPPES

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

JAMES EDWARD PHILLIPS III MD (NPI 1912988189) is an individual orthopaedic surgery provider in Wellesley, Massachusetts, licensed in Massachusetts (215749) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with New England Baptist Hospital, and is a graduate of Howard University College Of Medicine (1996).

NPPES Registry Identity

NPI1912988189
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES EDWARD PHILLIPS IIICredential: MD
Location Address230 WORCESTER STWellesley, MA 02481-5420
Mailing Address230 Worcester StWellesley, MA 02481-5420 · (617) 654-7111 · Fax (617) 654-7111
Phone(617) 654-7111
Fax(617) 654-7111
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1996
Enumeration DateNovember 7, 2005
Last NPPES UpdateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1912988189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MA · 215749
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
230 WORCESTER ST, Wellesley, MA 02481
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Other Identifiers 1

Medicaid0178071MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

James Edward Phillips Iii 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 ID3577594464
PECOS Enrollment IDI20050831000058
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 10

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
463 services244 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.
304 services272 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
289 services111 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.
139 services138 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
129 services129 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
110 services103 patients

Hospital Affiliations CMS Care Compare 3

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

New England Baptist Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220088
Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02481 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

JAMES M. DONOVAN PHD
Psychologist
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5270
JEAN D HORST NP
Nurse Practitioner (Pediatrics)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200
LINDA ANN RAFTERY NP
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200
SUSAN JO ROBERTS NP
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200
DEBRA A BRADFORD NP
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200
JULIA Y LOGAN M.D.
Obstetrics & Gynecology
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5400
IDA P GORENBURG M.D.
Internal Medicine
230 WORCESTER ST, INTERNAL MEDICINE
WELLESLEY, MA 02481
Norfolk County (781) 431-5220
PHYLLIS BLUHM PA
Physician Assistant (Medical)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200

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 James Phillips's NPI number?

The NPI number for James Phillips is 1912988189. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is James Phillips located?

James Phillips practices at 230 Worcester St, Wellesley, MA 02481. The listed phone number is (617) 654-7111.

What is James Phillips's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Phillips enrolled in Medicare?

Yes. James 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.

What insurance does James Phillips accept?

Health plans from Anthem Blue Cross and Blue Shield list James 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 James Phillips affiliated with any hospitals?

According to CMS data, James Phillips is affiliated with New England Baptist Hospital, Milford Regional Medical Center and Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for James Phillips was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.