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DR. PHILLIP BILLINGS FLEXON MD
NPI 1922044718
Otolaryngology in Stockbridge, GA

Active since June 21, 2006PECOS Enrolled
1365 ROCK QUARRY RD STE 300, STOCKBRIDGE, GA 30281(770) 740-1860(678) 347-2104 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2018, Dec 16, 2016, Dec 15, 2015 (3 updates tracked since 2015).

About Dr. Phillip Billings Flexon Md NPPES

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

DR. PHILLIP BILLINGS FLEXON MD (NPI 1922044718) is an individual otolaryngology provider in Stockbridge, Georgia, licensed in Georgia (031737) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922044718
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PHILLIP BILLINGS FLEXONCredential: MD
Location Address1365 ROCK QUARRY RD STE 300Stockbridge, GA 30281-5024
Mailing Address925 N Point Pkwy, Ste 130Alpharetta, GA 30005-5210 · (678) 206-2589 · Fax (678) 261-1713
Phone(770) 740-1860
Fax(678) 347-2104
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 20, 20183 updates tracked since enumeration
✔ NPI 1922044718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 031737
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1365 ROCK QUARRY RD STE 300, Stockbridge, GA 30281
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Billings Flexon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
86%4,353 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,382 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
35%432 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%2,083 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
36%3,257 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%3,257 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%3,257 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%3,257 patients
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.

Other Providers at the Same Location NPPES 4

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

MR. MAGNUS OJUKWU
Physician Assistant
1365 ROCK QUARRY RD STE 300
STOCKBRIDGE, GA 30281
Henry County (678) 206-2424
DANIELLE M NELSON PA-C
Physician Assistant
1365 ROCK QUARRY RD STE 300
STOCKBRIDGE, GA 30281
Henry County (770) 740-1860
MATTHEW E KAREN MD
Otolaryngology
1365 ROCK QUARRY RD STE 300
STOCKBRIDGE, GA 30281
Henry County (770) 740-1860
LAUREN LANGAN AUD
Audiologist
1365 ROCK QUARRY RD STE 300
STOCKBRIDGE, GA 30281
Henry County (678) 347-2123

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 Phillip Flexon's NPI number?

The NPI number for Phillip Flexon is 1922044718. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Phillip Flexon located?

Phillip Flexon practices at 1365 Rock Quarry Rd Ste 300, Stockbridge, GA 30281. The listed phone number is (770) 740-1860.

What is Phillip Flexon's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Phillip Flexon enrolled in Medicare?

Yes. Phillip Flexon is registered in the Medicare PECOS enrollment system.

What insurance does Phillip Flexon accept?

Health plans from Alliant Health Plans, Inc. list Phillip Flexon 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.

When was this NPI record last updated?

The NPPES record for Phillip Flexon was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.