Terrell R Phillips, DO

Primary specialty

SpecialistTaxonomy code 174400000X

License

2427 Issued in OK

Practice address

401 SW 80TH St
BLDG D Ste 200
Oklahoma City, OK 73139-8122

Phone

(405) 601-4227

Fax

(405) 601-4237

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

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

Pain ManagementAlso: Anesthesiology

Education

Oklahoma State University College of Osteopathic Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Oklahoma Pain Specialists LLCGroup PAC ID 0446511448, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212

Merit-based Incentive Payment System (MIPS)

Final score

78.72 of 100Reported as group

Quality

61.08

Promoting interoperability

99

Improvement activities

40

Cost

57

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tphillips@direct.uspi.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CCBBBD

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.

• Western Oklahoma Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Elk City, OK
  • NPI 1558885749
  Medicare reassignment Care Compare group NPD
• Western Oklahoma Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1881102614
  Medicare reassignment NPD
• Western Oklahoma Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Edmond, OK
  • NPI 1447045976
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Provision Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
  • NPI 1952871881
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1063489458
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1871534024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727450357",
            "telephone_number": "405-775-9350",
            "fax_number": "405-775-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 80TH ST",
            "address_2": "BLDG D STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398122",
            "telephone_number": "405-601-4227",
            "fax_number": "405-601-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TERRELL",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089860A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "050031732",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "050020190",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Caleb Phillips
• Skyler Phillips
• Stacy Phillips
• Steven Phillips
• Susie Phillips
• Valeria Yvette Phillips, LCSW
• Vicki Lynn Phillips, LMSW
• William G Phillips, MD
• Yvette Maryetta Phillips, CNP
• Gina Phillis

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.