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MICHAEL ZACHARY PHILLIPS MD
NPI 1992099600
Emergency Medicine in Harpers Ferry, WV

Active since May 31, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
175 CHENEY AVE, HARPERS FERRY, WV 25425(304) 535-6343(304) 535-4110 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Zachary Phillips Md NPPES

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

MICHAEL ZACHARY PHILLIPS MD (NPI 1992099600) is an individual emergency medicine provider in Harpers Ferry, West Virginia, licensed in West Virginia (25377) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of West Virginia University School Of Medicine (2011).

NPPES Registry Identity

NPI1992099600
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL ZACHARY PHILLIPSCredential: MD
Location Address175 CHENEY AVEHarpers Ferry, WV 25425-6343
Mailing Address175 Cheney AveHarpers Ferry, WV 25425-6343 · (304) 535-6343 · Fax (304) 535-4110
Phone(304) 535-6343
Fax(304) 535-4110
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2011
Enumeration DateMay 31, 2011
Last NPPES UpdateFebruary 10, 2016
✔ NPI 1992099600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WV · 25377
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
175 CHENEY AVE, Harpers Ferry, WV 25425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Zachary Phillips Md 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 ID3971720269
PECOS Enrollment IDI20140811000666
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

2

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

City Hospital, Inc.
6.2 mi
Internal Medicine
207 E 5TH AVE
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 231 clinicians in this Medicare group
NPI 1336657493 (304) 725-6777
Health Care Alliance, Inc.
213 mi
Emergency Medicine
105 S EISENHOWER DR
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1730128760 (304) 256-6600

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 3

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
58 services56 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services27 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25425 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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 Michael Phillips's NPI number?

The NPI number for Michael Phillips is 1992099600. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Michael Phillips located?

Michael Phillips practices at 175 Cheney Ave, Harpers Ferry, WV 25425. The listed phone number is (304) 535-6343.

What is Michael Phillips's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Phillips enrolled in Medicare?

Yes. Michael Phillips 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.

Which organizations bill Medicare for Michael Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Phillips reassigns Medicare benefits to 2 organizations: City Hospital, Inc. (Ranson, WV) and Health Care Alliance, Inc. (Beckley, WV). 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 Michael Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Phillips accept?

Health plans from CareSource list Michael 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.

Is Michael Phillips affiliated with any hospitals?

According to CMS data, Michael Phillips is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Phillips was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.