DR. PAUL KENNETH PHILLIPS MD
NPI 1427051937
Psychiatry & Neurology - Psychiatry in Panama City, FL
NPI Status: Active since May 30, 2005
Contact Information
1940 HARRISON AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 763-0017
Fax: (850) 532-6454
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- PECOS Enrolled
- Medicare Quality Reporting
About PAUL PHILLIPS
This page provides the complete NPI Profile along with additional information for Paul Phillips, a provider established in Panama City, Florida with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1427051937 assigned on May 2005. The practitioner's primary taxonomy code is 2084P0800X with license number ME117663 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1427051937
- Provider Name
- DR. PAUL KENNETH PHILLIPS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1940 HARRISON AVE PANAMA CITY, FL 32405
- Location Phone
- (850) 763-0017
- Location Fax
- (850) 532-6454
- Mailing Address
- 1940 HARRISON AVE PANAMA CITY, FL 32405
- Mailing Phone
- (850) 763-0017
- Mailing Fax
- (850) 532-6454
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-30-2005
- Last Update Date
- 04-24-2018
- Code Navigator
A psychiatrist like Paul Phillips are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME117663
- License State
- FL
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 01056981A (IN) |
Medicare Participation & PECOS Enrollment Status
Paul Phillips 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
Physician 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 32405 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $171.84
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $42.96
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.04
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $17.51
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 57 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 100% | 31 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
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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 | 4 | 2 | 7 | 0 | 5 | 1 | 9 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 5 | 2 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 5 + 2 + 9 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1427051937 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1992756126 | BAY MEDICAL CENTER Organization | Psychiatric Unit | 1940 HARRISON AVE PANAMA CITY, FL 32405 (888) 313-5258 |
| 1780853192 | BAY PHYSICIAN MEDICAL BILLING GROUP Organization | Psychologist | 1940 HARRISON AVE PANAMA CITY, FL 32405 (888) 313-5258 |
| 1912235698 | DONNA J. BROOME LCSW Individual | Social Worker (Clinical) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-5351 |
| 1043536287 | GAIL GILBERT LMHC Individual | Contractor | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 276-4075 |
| 1740595933 | THOMAS CARL WILLIAMSON A.R.N.P. Individual | Nurse Practitioner (Family) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1407117989 | MRS. HEATHER RENEE SWIGER LCSW, CCTP Individual | Social Worker (Clinical) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1205125523 | MS. MICHELE GENEVIEVE AZZATI ARNP Individual | Nurse Practitioner (Family) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 319-3905 |
| 1770950552 | MARTHA RUDER FNP-DNP Individual | Nurse Practitioner (Family) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1225497282 | JESSICA PETCH ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1487005559 | JANET GRAY LCSW Individual | Social Worker (Clinical) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 481-0306 |
| 1295286813 | LEA ANN ROONEY LCSW Individual | Social Worker (Clinical) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1568907301 | LOU ELLEN JOHNSON LMHC Individual | Counselor (Mental Health) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1245775980 | POLA SANCHEZ-BAKER LMHC Individual | Counselor (Mental Health) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1043653421 | KELLY A KUGLER LMHC Individual | Counselor (Mental Health) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1619481298 | TOMMY R MCDONALD JR. Individual | Counselor (Mental Health) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1134423460 | MR. JEFFREY CLEOPE ZUMARRAGA ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1164417564 | MRS. DIANA F MELAZZO DO Individual | Psychiatry & Neurology (Psychiatry) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1356364400 | DR. JAMES PHILLIP BROWN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1487096780 | MR. GERALD KEVIN THOMPSON ARNP, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
| 1831423078 | TED LIBERTY LMHC Individual | Counselor (Mental Health) | 1940 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-0017 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427051937, enumerated in the NPI registry as an "individual" on May 30, 2005
The provider is located at 1940 Harrison Ave Panama City, Fl 32405 and the phone number is (850) 763-0017
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
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 $171.84 with an average copayment of $42.96 for new patient appointments. Established patients should expect a typical charge of $70.04 and an average copayment of 17.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 30, 2005. 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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