NPIMap

Individual provider Active NPI

Spencer D Phillips, MD

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1003849928
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD029404E Issued in PA
Practice address
2113 Manor Ridge Dr
Lancaster, PA 17603-4215
Phone
(717) 517-7841
Fax
(717) 517-7853
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD029404E PA Primary

Addresses

Primary practice location

2113 Manor Ridge Dr
Lancaster, PA 17603-4215

Mailing address

2113 Manor Ridge Dr
Lancaster, PA 17603-4215
Phone (717) 517-7841

Other identifiers 1

IdentifierTypeStateIssuer
1008237MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000453 PA Practitioner - Family Practice 7810965126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer D Phillips MD Mdvip LTDGroup PAC ID 1759361892, 2 clinicians

Practice addresses (Care Compare)

2113 Manor Ridge Dr
Lancaster, PA 17603-4215
Phone (717) 517-7841

Hospital & facility affiliations

  • Penn Medicine Home Health Lancaster General Health Home health agency, Lancaster, PA, CCN 397013
  • Choices Healthcare Hospice, Lancaster, PA, CCN 391515
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Glen at Willow Valley Nursing home, Lancaster, PA, CCN 395956
  • Lakeside at Willow Valley Nursing home, Willow Street, PA, CCN 395771

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD029404EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer D Phillips MD Mdvip LTD Family Medicine CurrentSince May 14, 1985 Accepting new patients

Locations

701 N Duke St
Lancaster, PA 17602
Phone (717) 299-4644

2113 Manor Ridge Dr
Ste B
Lancaster, PA 17603

2113 Manor Ridge Dr
Lancaster, PA 17603
Phone (717) 299-4644

Interoperability endpoints

  • Direct secure messaging: spencer.phillips.1@12762.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1003849928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 MANOR RIDGE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034215",
            "telephone_number": "717-517-7841",
            "fax_number": "717-517-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 MANOR RIDGE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034215",
            "telephone_number": "717-517-7841",
            "fax_number": "717-517-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SPENCER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD029404E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008237",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.