PAMELA KIM PHILLIPS MD
NPI 1962481044
Dermatology - MOHS-Micrographic Surgery in Rapid City, SD

Q: What is Pamela Phillips's NPI number?

The NPI number for Pamela Phillips is 1962481044. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Pamela Phillips's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Phillips was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 17, 2006PECOS Enrolled

83.8/100

CMS Quality Rating

2805 5TH ST, 100, RAPID CITY, SD 57701(605) 755-5700(605) 755-3691 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2022, Jan 4, 2017 (2 updates tracked since 2017).

On this page

About Pamela Kim Phillips Md NPPES

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

PAMELA KIM PHILLIPS MD (NPI 1962481044) is an individual mohs-micrographic surgery provider in Rapid City, South Dakota, licensed in Texas (S4216) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962481044

Entity TypeIndividualFemale

Primary Taxonomy207ND0101X

Provider Legal NamePAMELA KIM PHILLIPSCredential: MD

Location Address2805 5TH ST, 100Rapid City, SD 57701-7306

Mailing Address4513 Williams DrGeorgetown, TX 78633-1302 · (512) 930-3909 · Fax (512) 869-5868

Phone(605) 755-5700

Fax(605) 755-3691

Sole ProprietorNo

Enumeration DateJanuary 17, 2006

Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1962481044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in TX · S4216

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License S4216 (TX)

2805 5TH ST, Rapid City, SD 57701

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Other Identifiers 1

Medicaid473987600MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Kim Phillips 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.

Medicare Billing Reassignments

Medicare enrollment records show Pamela Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monument Health Rapid City Hospital, Inc.

Same address

Multi-Specialty

2805 5TH ST
Rapid City, SD 57701

Reassigned Medicare billing, South Dakota enrollment
831 clinicians in this Medicare group

NPI 1871972794 (605) 755-5700

Mountain West Derm - Blackhart PLLC

970 mi

Dermatology

4513 WILLIAMS DR
Georgetown, TX 78633

Reassigned Medicare billing, Texas enrollment
22 clinicians in this Medicare group

NPI 1366018848 (512) 930-3909

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 21

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

477 services407 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

178 services167 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.

150 services138 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

84 services82 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

67 services52 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

41 services36 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

40 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

39 services28 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.

39 services32 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

34 services27 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

33 services31 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

21 services18 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm 13151

This procedure involves the intricate repair of a wound that is 1.1 to 2.5 cm long on your eyelids, nose, ears, or lip. The goal is to mend the wound carefully to preserve function and minimize scarring. The process may involve stitching and other techniques.

18 services18 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

18 services18 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

16 services16 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 13152

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

14 services14 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

14 services14 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

11 services11 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051

This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.

11 services11 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

11 services11 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

83.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.58

Promoting Interoperability

Improvement Activities

Cost

71.77

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.

KEITH G BRYSON MD

Urology

2805 5TH ST, SUITE 100
RAPID CITY, SD 57701

Meade County (605) 719-5700

MASARU CHIBA MD

Internal Medicine (Pulmonary Disease)

2805 5TH ST, SUITE 100
RAPID CITY, SD 57701

Meade County (605) 719-5700

JAMES F NABWANGU MD

Neurological Surgery

2805 5TH ST, SUITE 100
RAPID CITY, SD 57701

Meade County (605) 719-5650

KIRSTIN ASHLEY HOCKHAUSEN

Dermatology

2805 5TH ST
RAPID CITY, SD 57701

Meade County (605) 755-5340

KARMELA L BACHMAN PA-C

Physician Assistant

2805 5TH ST
RAPID CITY, SD 57701

Meade County (605) 755-5340

MS. LAURA ANN PARSONS PA-C

Physician Assistant (Medical)

2805 5TH ST, 220
RAPID CITY, SD 57701

Meade County (605) 348-1084

THEODORE G OBENCHAIN MD

Neurological Surgery

2805 5TH ST
RAPID CITY, SD 57701

Meade County (605) 719-5650

PAUL R MILLER MD

Orthopaedic Surgery

2805 5TH ST
RAPID CITY, SD 57701

Meade County (605) 755-5700

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 Pamela Phillips's NPI number?

The NPI number for Pamela Phillips is 1962481044. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Pamela Phillips located?

Pamela Phillips practices at 2805 5th St 100, Rapid City, SD 57701. The listed phone number is (605) 755-5700.

What is Pamela Phillips's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Pamela Phillips enrolled in Medicare?

Yes. Pamela Phillips is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pamela Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Phillips reassigns Medicare benefits to 2 organizations: Monument Health Rapid City Hospital, Inc. (Rapid City, SD) and Mountain West Derm - Blackhart PLLC (Georgetown, TX). 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 Pamela Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Phillips accept?

Health plans from Moda Health Plan, Inc. and Oscar Insurance Company list Pamela 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.

When was this NPI record last updated?

The NPPES record for Pamela Phillips was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.