Individual provider Active NPI

Phillip John States, M.D.

  • Family Medicine Physician
  • Punxsutawney, PA
National Provider Identifier
1093791246
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD423371 Issued in PA
Practice address
83 Hillcrest Dr
Suite 200
Punxsutawney, PA 15767-2605
Phone
(814) 938-3550
Fax
(814) 938-3679
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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 MD423371 PA Primary

Addresses

Primary practice location

83 Hillcrest Dr
Suite 200
Punxsutawney, PA 15767-2605

Mailing address

83 Hillcrest Dr
Suite 200
Punxsutawney, PA 15767-2605
Phone (814) 938-3550

Other identifiers 3

IdentifierTypeStateIssuer
1010451800001MedicaidPA
1641714OtherPAHIGHMARK BLUE SHIELD
1030096480002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000853 PA Practitioner - Family Practice 0345213245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Punxsutawney Area Hospital IncGroup PAC ID 3375517147, 33 clinicians

Practice addresses (Care Compare)

81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-7066

81 Hillcrest Dr
Punxsutawney, PA 15767-2616

Hospital & facility affiliations

  • 365 Hospice LLC Hospice, Carrolltown, PA, CCN 391774
  • Penn Hospice, Inc Hospice, Ebensburg, PA, CCN 391776
  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199
  • Punxsutawney Area Hospital Nursing home, CCN 39U199
  • Aspen Nursing and Rehab Center Nursing home, Punxsutawney, PA, CCN 395618

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services, Inc CurrentSince Aug 1, 2023 Accepting new patients
Cen Clear Child Services, Inc. CurrentSince Jun 21, 2017 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Punxsutawney Area Hospital Inc. CurrentSince Jul 13, 2019 Accepting new patients
Indiana Healthcare Physician Services Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Jul 13, 2019 Accepting new patients
Punxsutawney Area Hosp Em Med Fpa Past Accepting new patients
Cen Clear Child Services PastSince Jun 21, 2017 Accepting new patients
Mulberry Healthcare Operating LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

81 Hillcrest Dr
Ste 200
Punxsutawney, PA 15767

81 Hillcrest Dr
Ste 100
Punxsutawney, PA 15767
Phone (814) 938-7045

83 Hillcrest Dr
Ste 200
Punxsutawney, PA 15767
Phone (814) 938-3550

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

81 Hillcrest Dr
Ste 1300
Punxsutawney, PA 15767
Phone (814) 938-3550

117 Elk Run Ave
Punxsutawney, PA 15767
Phone (814) 938-6340

50 Bigler Rd
Woodland, PA 16881

Organizations & group practices 10

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 5

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1093791246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HILLCREST DR",
            "address_2": "SUITE 200",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-3550",
            "fax_number": "814-938-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HILLCREST DR",
            "address_2": "SUITE 200",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-3550",
            "fax_number": "814-938-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATES",
        "first_name": "PHILLIP",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD423371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010451800001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1641714",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030096480002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.