Brian Allister Phillpotts, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M374895 Issued in FL

Practice address

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221

Phone

(727) 943-3111

Fax

(727) 943-3334

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

University of Michigan Medical School, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.phillpottsmd.p1@direct.stlukeseye.nextgenshare.com
• Direct secure messaging: brian.phillpottsmd.p3@direct.stlukeseye.nextgenshare.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Pasco-Pinellas Hillsborough Community Health System Inc

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1073893020

  Corporate Director

  CMS ownership

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.

• St Lukes Cataract & Laser Institute

  • Ophthalmology Physician
  • Tarpon Springs, FL
  • NPI 1154316628
  Medicare reassignment Care Compare group NPD
• St Lukes Surgical Center Inc

  • Ophthalmology Physician
  • Tarpon Springs, FL
  • NPI 1508890476
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1649265638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-943-3111",
            "fax_number": "727-943-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-943-3111",
            "fax_number": "727-943-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLPOTTS",
        "first_name": "BRIAN",
        "middle_name": "ALLISTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "M374895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264787700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58018",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180042145",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4330111",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Care and Rehabilitation Center by Harborview LLC
• Peninsula Rehabilitation and Nursing Center LLC
• Pamela Perenich, ARNP
• Keiry Perez
• Sandra Peterson, RN, LMT
• Julian Thomas Pierce, M.D.
• Olivia Amanda Pierog, MD
• Gina Polly
• Estuardo Alfonso Ponce, M.D.
• Alicia Angelle Porter

• Ophthalmology Physician in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.