PHILIP J HUBER JR. MD
NPI 1245272145
Colon & Rectal Surgery in Dallas, TX
NPI Status: Active since June 12, 2006
Contact Information
8160 WALNUT HILL LN
STE 306
DALLAS, TX
ZIP 75231
Phone: (214) 345-8060
Fax: (214) 345-8229
- Individual
- Male
- Colon & Rectal Surgery
- Accepts Insurance
- PECOS Enrolled
About PHILIP HUBER
This page provides the complete NPI Profile along with additional information for Philip Huber, a provider established in Dallas, Texas with a medical specialization in Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1245272145 assigned on June 2006. The practitioner's primary taxonomy code is 208C00000X with license number E3311 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1245272145
- Provider Name
- PHILIP J HUBER JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8160 WALNUT HILL LN STE 306 DALLAS, TX 75231
- Location Phone
- (214) 345-8060
- Location Fax
- (214) 345-8229
- Mailing Address
- 7777 FOREST LN STE C204 DALLAS, TX 75230
- Mailing Phone
- (972) 566-6115
- Mailing Fax
- (214) 345-8229
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-12-2006
- Last Update Date
- 01-08-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- E3311
- License State
- TX
- Taxonomy Description
- A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
105004906 | MEDICAID (05) | TX | |
8L2695 | MEDICARE PIN (08) | TX | |
8C9853 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
105004904 | MEDICAID (05) | TX | |
8L2728 | MEDICARE PIN (08) | TX | |
105004905 | MEDICAID (05) | TX | |
105004903 | MEDICAID (05) | TX | |
C17153 | MEDICARE UPIN (02) | ||
8L2729 | MEDICARE PIN (08) | TX |
Medicare Participation & PECOS Enrollment Status
Philip Huber is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, pectin-based, paste, per ounce (HCPCS:A4406)
3 DME suppliers used 12 Medicare Claims 76 Services Paid
DME-Orthotic Devices (DF010N)
Skin barrier, wipes or swabs, each (HCPCS:A5120)
4 DME suppliers used 13 Medicare Claims 530 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 26 times for 20 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75231 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.19
- Minimum New Patient Price $57.18
- Maximum New Patient Price $172.86
- Average New Patient Copayment $22.04
- Minimum New Patient Copayment $14.29
- Maximum New Patient Copayment $43.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.28
- Minimum Established Patient Price $18.48
- Maximum Established Patient Price $141.2
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.62
- Maximum Established Patient Copayment $35.3
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 4 | 5 | 2 | 7 | 2 | 1 | 4 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 4 | 7 | 4 | 1 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 4 + 7 + 4 + 1 + 8 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1245272145 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1902808660 | DR. GREGORY ALAN CHAPMAN M.D. Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN SUITE # 224 DALLAS, TX 75231 (214) 365-1150 |
1376525329 | EUGENE HUNT M.D. Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN DALLAS, TX 75231 (214) 750-0171 |
1801872551 | DR. CHRISTOPHER SEAN FATTE BLACK M.D. Individual | Emergency Medicine | 8160 WALNUT HILL LN PEROT SUITE 007 DALLAS, TX 75231 (214) 345-5930 |
1407811052 | MRS. SUSAN R WATTS MD Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN 306 DALLAS, TX 75231 (214) 373-7800 |
1780649897 | MRS. BARBARA P CROCKETT MD Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN 306 DALLAS, TX 75231 (214) 373-7800 |
1386695237 | ALI R GUERAMI M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 8160 WALNUT HILL LN SUITE 208 DALLAS, TX 75231 (214) 345-6963 |
1386696052 | SAMUEL JOHN CHANTILIS M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 8160 WALNUT HILL LN SUITE 328 DALLAS, TX 75231 (214) 363-5965 |
1114979804 | KAREN LYNN LEE M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 8160 WALNUT HILL LN SUITE 328 DALLAS, TX 75231 (214) 363-5965 |
1386697704 | MRS. KAVITHA SUNKU BLEWETT M.D. Individual | Specialist | 8160 WALNUT HILL LN SUITE 200 DALLAS, TX 75231 (214) 363-4421 |
1447203823 | MR. JONATHAN REEVES BROUGH M.D. Individual | Specialist | 8160 WALNUT HILL LN SUITE 200 DALLAS, TX 75231 (214) 363-4421 |
1346294030 | DR. ALI TOOFANIAN M.D. Individual | Specialist | 8160 WALNUT HILL LN SUITE 211 DALLAS, TX 75231 (214) 696-2496 |
1306890694 | KIMBERLEA A ROE MD Individual | Specialist | 8160 WALNUT HILL LN STE 304 DALLAS, TX 75231 (214) 369-2895 |
1962456970 | DR. DAVID GARY LOMBARDI M.D. Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN SUITE 100 DALLAS, TX 75231 (214) 369-1203 |
1821002478 | JUAN M JIMENEZ-OLIVA M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 8160 WALNUT HILL LN SUITE 216 DALLAS, TX 75231 (214) 368-2543 |
1417961855 | MATERNAL FETAL MEDICINE & GENETICS ASSOCIATES, P.A. Organization | Clinic/Center (Medical Specialty) | 8160 WALNUT HILL LN SUITE 216 DALLAS, TX 75231 (214) 368-2543 |
1184633539 | DR. HAROLD L KAYE MD Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN 100 DALLAS, TX 75231 (214) 369-1203 |
1851300628 | DR. SHELDON WEINSTEIN M.D., Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN SUITE 100 DALLAS, TX 75231 (214) 369-1203 |
1548271877 | DR. SHEILA CHHUTANI M.D. Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN SUITE 100 DALLAS, TX 75231 (214) 369-1203 |
1679633937 | LESLIE CHIN HAVEMANN M.D. Individual | Obstetrics & Gynecology | 8160 WALNUT HILL LN SUITE 104 DALLAS, TX 75231 (972) 304-6396 |
1538225149 | SAMUEL LIFSHITZ M.D. Individual | Specialist | 8160 WALNUT HILL LN SUITE 316 DALLAS, TX 75231 (214) 691-9484 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245272145, enumerated in the NPI registry as an "individual" on June 12, 2006
The provider is located at 8160 Walnut Hill Ln Ste 306 Dallas, Tx 75231 and the phone number is (214) 345-8060
The provider's speciality is Colon & Rectal Surgery with taxonomy code 208C00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $88.19 with an average copayment of $22.04 for new patient appointments. Established patients should expect a typical charge of $71.28 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes.
This NPI record was last updated on June 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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