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JAMES LEE PHILLIPS DO
NPI 1982799763
Pediatrics in Springfield, MO

Active since October 04, 2006PECOS Enrolled
4331 S. FREMONT, SPRINGFIELD, MO 65804(417) 820-5000(417) 820-5015 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Lee Phillips Do NPPES

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

JAMES LEE PHILLIPS DO (NPI 1982799763) is an individual pediatrics provider in Springfield, Missouri, licensed in Missouri (2009016967) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982799763
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES LEE PHILLIPSCredential: DO
Location Address4331 S. FREMONTSpringfield, MO 65804
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 820-5000
Fax(417) 820-5015
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1982799763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MO · 2009016967✔ Licensed in IA · R-7924
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4331 S. FREMONT, Springfield, MO 65804
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Other Identifiers 3

Other431560263Tricare West
Medicare PIN132680101MO
Medicaid1982799763MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Lee Phillips Do 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 Reassignment

Medicare enrollment records show James Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Springfield Communities
1.5 mi
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,565 clinicians in this Medicare group
NPI 1245277631 (855) 420-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 James Phillips's NPI number?

The NPI number for James Phillips is 1982799763. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is James Phillips located?

James Phillips practices at 4331 S. Fremont, Springfield, MO 65804. The listed phone number is (417) 820-5000.

What is James Phillips's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Phillips enrolled in Medicare?

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

Which organization bills Medicare for James Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Phillips reassigns Medicare benefits to Mercy Clinic Springfield Communities (Springfield, MO). The 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 James Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Phillips accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list James 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 James Phillips was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.