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JOHN J MCPHILEMY DO
NPI 1972501211
Orthopaedic Surgery in Wynnewood, PA

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
92.09/100
CMS Quality Rating
100 E LANCASTER AVE STE 456, WYNNEWOOD, PA 19096(800) 321-9999(484) 297-6244 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2022, Apr 2, 2019 (2 updates tracked since 2019).

About John J Mcphilemy Do NPPES

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

JOHN J MCPHILEMY DO (NPI 1972501211) is an individual orthopaedic surgery provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (OS004258L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1978).

NPPES Registry Identity

NPI1972501211
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN J MCPHILEMYCredential: DO
Location Address100 E LANCASTER AVE STE 456Wynnewood, PA 19096-3434
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (267) 592-6191 · Fax (267) 339-3761
Phone(800) 321-9999
Fax(484) 297-6244
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1978
Enumeration DateJuly 11, 2005
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1972501211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · OS004258L
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.
100 E LANCASTER AVE STE 456, Wynnewood, PA 19096
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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

John J Mcphilemy Do 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 ID2961542261
PECOS Enrollment IDI20091217000403
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 11

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
5,150 services47 patients
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.
472 services182 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.
419 services258 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
393 services158 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
151 services116 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.
135 services135 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

92.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

Other Providers at the Same Location NPPES

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

MARK D AVART DO
Orthopaedic Surgery
100 E LANCASTER AVE STE 456
WYNNEWOOD, PA 19096
Montgomery County (800) 321-9999

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 John Mcphilemy's NPI number?

The NPI number for John Mcphilemy is 1972501211. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is John Mcphilemy located?

John Mcphilemy practices at 100 E Lancaster Ave Ste 456, Wynnewood, PA 19096. The listed phone number is (800) 321-9999.

What is John Mcphilemy's specialty?

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

Is John Mcphilemy enrolled in Medicare?

Yes. John Mcphilemy 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.

When was this NPI record last updated?

The NPPES record for John Mcphilemy was last updated on February 24, 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.