DR. PHILIP JEFFREY CAIN D.P.M.
NPI 1932140076
Podiatrist - Foot & Ankle Surgery in Springfield, OH

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
79.15/100
CMS Quality Rating
415 W HARDING RD, SPRINGFIELD, OH 45504(937) 399-8011(937) 399-7096 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip Jeffrey Cain D.p.m. NPPES

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

DR. PHILIP JEFFREY CAIN D.P.M. (NPI 1932140076) is an individual foot & ankle surgery provider in Springfield, Ohio, licensed in Ohio (36002472) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of Kent State University College Of Podiatric Medicine (1987).

NPPES Registry Identity

NPI1932140076
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PHILIP JEFFREY CAINCredential: D.P.M.
Location Address415 W HARDING RDSpringfield, OH 45504-1706
Mailing Address415 W Harding RdSpringfield, OH 45504-1706 · (937) 399-8011 · Fax (937) 399-7096
Fax(937) 399-7096
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1987
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 28, 2010
NPI 1932140076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OH · 36002472
415 W HARDING RD, Springfield, OH 45504

Other Identifiers 5

Other00000017632OH · Anthem
Medicare UPINT80651OH
Medicare NSC0144040001
Medicare PIN0613272OH
Medicaid0703439OH

Accepted 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

Dr. Philip Jeffrey Cain D.p.m. 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 ID6002840170
PECOS Enrollment IDI20101019000348
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 16

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 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.
547 services196 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.
522 services217 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
271 services98 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
167 services63 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
87 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
80 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360355
Location100 West Main StreetSpringfield, OH 45502 · Clark County

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.

79.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.55
Improvement Activities40

Reported Quality Measures

Advance Care Plan
5%1,130 patients1/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
4%715 patients1/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
4%715 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
2%425 patients5/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
6%4,312 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
3%1,895 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
3%1,895 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier18 claims36 services$61.90 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier17 claims34 services$25.25 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 2

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

Podiatrist (Foot & Ankle Surgery)
415 W HARDING RD
SPRINGFIELD, OH 45504
Podiatrist (Foot & Ankle Surgery)
415 W HARDING RD
SPRINGFIELD, OH 45504

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 Philip Cain's NPI number?

The NPI number for Philip Cain is 1932140076. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Philip Cain located?

Philip Cain practices at 415 W Harding Rd, Springfield, OH 45504. The listed phone number is (937) 399-8011.

What is Philip Cain's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Philip Cain enrolled in Medicare?

Yes. Philip Cain 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 Philip Cain accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Philip Cain 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 Philip Cain affiliated with any hospitals?

According to CMS data, Philip Cain is affiliated with Springfield Regional Medical Center and Ohio Valley Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Philip Cain was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.