ROBERT GEORGE PHELPS MD NPI 1922007772

Pathology (Dermatopathology) in New York, NY

NPI 1922007772 Individual Male Years of Experience 43 Pathology Dermatopathology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ROBERT PHELPS

Robert Phelps is a provider established in New York, New York and his medical specialization is pathology (dermatopathology) with more than 43 years of experience. He graduated from Perelman School Of Med At The University Of Pennsylvania in 1979. The NPI number of Robert Phelps is 1922007772 and was assigned on July 2005. The practitioner's primary taxonomy code is 207ZD0900X with license number 152938 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.

Robert Phelps is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Robert Phelps is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mount Sinai Hospital, Mount Sinai Beth Israel and Mount Sinai St Luke's Roosevelt Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: implementation of documentation improvements for practice/process improvements, implementation of improvements that contribute to more timely communication of test results and provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1922007772

Provider Name ROBERT GEORGE PHELPS MD
Provider Location Address1 GUSTAVE L LEVY PL 3-08 ANNENBERG BUILDING NEW YORK, NY 10029
Provider Mailing Address1 GUSTAVE L LEVY PL PATHOLOGY, BOX 1194 NEW YORK, NY 10029
GenderMale
NPI Entity TypeIndividual
Medical School NamePERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year1979
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-14-2005
Last Update Date12-27-2011


Primary Taxonomy

Taxonomy Code207ZD0900X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationDermatopathology
License No.152938
License StateNY
Taxonomy DescriptionA dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Business Address

ROBERT GEORGE PHELPS MD
1 GUSTAVE L LEVY PL
3-08 ANNENBERG BUILDING
NEW YORK, NY
ZIP 10029
Phone: (212) 241-6064
Fax: (212) 241-7832

Get Directions


Mailing Address

ROBERT GEORGE PHELPS MD
1 GUSTAVE L LEVY PL
PATHOLOGY, BOX 1194
NEW YORK, NY
ZIP 10029
Phone: (212) 731-7772
Fax: (212) 534-7491



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5597930974
PECOS Enrollment IDI20111214000020
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 336Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • 288Special stained specimen slides to examine tissue (HCPCS:88341)
  • 257Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • 20Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Phelps is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MOUNT SINAI HOSPITALONE GUSTAVE L LEVY PLACE
NEW YORK, NY 10029
(212) 241-7981Acute Care Hospitals330024
MOUNT SINAI BETH ISRAELFIRST AVENUE AT 16TH STREET
NEW YORK, NY 10003
(212) 420-2000Acute Care Hospitals330169
MOUNT SINAI ST LUKE'S ROOSEVELT HOSPITAL1000 TENTH AVENUE
NEW YORK, NY 10019
(212) 523-4000Acute Care Hospitals330046

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology152938NYNo

Taxonomy Description: a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C10166MEDICARE UPIN (02)NY
47D801MEDICARE ID-TYPE UNSPECIFIED (04)NY

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912900671MR. CARL ANTHONY KIRTON NP
Individual
Nurse Practitioner (Adult Health)1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
(212) 241-3921
1730187667 TAMARA LOUISE KALIR MD, PHD
Individual
Pathology (Anatomic Pathology)1 GUSTAVE L LEVY PL PATHOLOGY
NEW YORK, NY 10029
(212) 241-3784
1780682708DR. LIANE DELIGDISCH MD
Individual
Pathology (Anatomic Pathology)1 GUSTAVE L LEVY PL PATHOLOGY, ANNENBERG 15-92
NEW YORK, NY 10029
(212) 241-9114
1710985650 GEORGE MICHAEL KLEINMAN MD
Individual
Pathology (Neuropathology)1 GUSTAVE L LEVY PL PATHOLOGY, BOX 1194
NEW YORK, NY 10029
(212) 731-7772
1538167473 PATRICK ALEXANDER LENTO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 GUSTAVE L LEVY PL PATHOLOGY, BOX 1194
NEW YORK, NY 10029
(212) 731-7771
1760480685 SHABNAM M. JAFFER MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
(212) 241-1951
1154329910 HARRY LUMERMAN D.D.S
Individual
Oral & Maxillofacial Surgery1 GUSTAVE L LEVY PL PATHOLOGY, BOX 1194
NEW YORK, NY 10029
(212) 731-7772
1730187519 MARGRET MAGID MD
Individual
Pathology (Pediatric Pathology)1 GUSTAVE L LEVY PL PATHOLOGY, ANNENBERG 15-92
NEW YORK, NY 10029
(212) 241-7459
1225037039 SUNG YOON CHOO MD
Individual
Pathology (Blood Banking & Transfusion Medicine)1 GUSTAVE L LEVY PL BLOOD BANK, BOX 1024
NEW YORK, NY 10029
(212) 241-6784
1932107752 NAOMI RAMER D.D.S
Individual
Pathology (Anatomic Pathology)1 GUSTAVE L LEVY PL PATHOLOGY,
NEW YORK, NY 10029
(212) 241-7215
1952300717 ARNOLD HOWARD SZPORN MD
Individual
Pathology (Cytopathology)1 GUSTAVE L LEVY PL ANNENBERG BUILDING ROOM 15-265
NEW YORK, NY 10029
(212) 241-9160
1669471470 DANIEL PETER PERL MD
Individual
Pathology (Neuropathology)1 GUSTAVE L LEVY PL PATHOLOGY, BOX 1194
NEW YORK, NY 10029
(212) 731-7771
1942208756 SUSAN MORGELLO MD
Individual
Pathology (Neuropathology)1 GUSTAVE L LEVY PL PATHOLOGY
NEW YORK, NY 10029
(212) 731-7771
1184623563 PAMELA D. UNGER MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 GUSTAVE L LEVY PL ANNENBERG BUILDING ROOM 15-30
NEW YORK, NY 10029
(212) 241-9116
1033119920 SWAN N. THUNG MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 GUSTAVE L LEVY PL PATHOLOGY
NEW YORK, NY 10029
(212) 241-9139
1710987623 NOAM HARPAZ MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 GUSTAVE L LEVY PL ANNENBERG 15-38
NEW YORK, NY 10029
(212) 241-6692
1518967421 MARIA ISABEL FIEL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 GUSTAVE L LEVY PL PATHOLOGY, ANNENBERG 15-28
NEW YORK, NY 10029
(212) 241-6270
1215937511 JUAN CAMINO GIL MD
Individual
Pathology (Anatomic Pathology)1 GUSTAVE L LEVY PL PATHOLOGY, BOX 1194
NEW YORK, NY 10029
(212) 731-7771
1477545259 BENJAMIN E LUKENS PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1 GUSTAVE L LEVY PL ANNENBERG B2 RM 206 BOX 1211
NEW YORK, NY 10029
(212) 241-4980
1235123027 SPIROS HIOTIS M.D.
Individual
Surgery (Surgical Oncology)1 GUSTAVE L LEVY PL BOX 1263
NEW YORK, NY 10029
(212) 241-2891

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.