NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1285617696 MD
Verify on CMS → John Phillip, MD
Surgery Physician in Johnston, Rhode Island.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,778 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
227
Medicare Part D claims · 78 beneficiaries · Surgery Physician avg: 174
What the federal data shows
John Phillip, MD filed 227 Medicare Part D claims in 2024 as a Surgery Physician in Johnston, Rhode Island.
- 227
- Part D claims, 2024
- ≥48th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about John Phillip, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1285617696), first enumerated 11/21/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 227 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1285617696 · Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1285617696
- ENUM-LEGACY 2005
- TAX-MID 37K Surgery Physician
- RX-LIGHT 227
- BOOK-THIN 161 in Rhode Island
- PHOTO-ENUM Cheuk Hong, MD · 2005
John Phillip, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
227 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
John Phillip, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about John Phillip, MD?
Quality data not reportedPrimary specialty
Surgery Physician
Medicare Part D claims
227 30% vs specialty avg
Specialty distribution in Rhode Island
How Surgery Physician compares to other specialties among Rhode Island providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Surgery Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1285617696 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/21/2005 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
227
Total Claims
$8K
Total Drug Cost
78
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 313.667
- Total Day Supply
- 7,236
- Generic Drug Cost
- $8K
- Opioid Claims
- 29 (12.8% rate)
- Antibiotic Claims
- 41
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.26
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 11, 65-74: 40, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What John Phillip, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Omeprazole
Omeprazole
62 claims
- Hydrocodone-Acetam… 21
Hydrocodone-Acetaminophen
21 claims
- Ciprofloxacin Hcl 15
Ciprofloxacin Hcl
15 claims
- Esomeprazole Magne… 14
Esomeprazole Magnesium
14 claims
- Mesalamine 12
Mesalamine
12 claims
- Diphenoxylate-Atro… 11
Diphenoxylate-Atropine
11 claims
| Drug | Claims |
|---|---|
| Omeprazole | 62 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 21 |
| Ciprofloxacin Hcl | 15 |
| Esomeprazole Magnesium | 14 |
| Mesalamine | 12 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How John Phillip, MD fits within the Surgery Physician landscape nationally.
36,778
Surgery Physician Providers in US
56
States with Surgery Physician
174
Avg Claims per Provider
John Phillip, MD's 227 claims are above the specialty average of 174.
Nationwide Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Phillip, both outside Rhode Island so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgery Physician Providers in Rhode Island
Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as Phillip.
One of 161 Surgery Physician providers enrolled in Rhode Island, 5 are shown here.
Dr. Mohammed Abiri
MD
Cranston, RI
Dr. Elizabeth Altenhein
MD
Providence, RI
Dr. Alicia Alterio
MD
Providence, RI
Dr. Joseph Amaral
MD
Providence, RI
Dr. Ijeoma Azodo
M.D.
Providence, RI
Compare Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is John Phillip, MD's specialty? ▼
John Phillip, MD specializes in Surgery Physician and practices in Johnston, Rhode Island. Credentials: MD.
How much does John Phillip, MD prescribe under Medicare Part D? ▼
In 2024, John Phillip, MD wrote 227 Medicare Part D claims totaling $8K in drug costs for 78 beneficiaries.
Where is John Phillip, MD located? ▼
John Phillip, MD is located at 1524 ATWOOD AVE, Johnston, RI, 02919. Phone: (401) 443-5559.
What is John Phillip, MD's NPI number? ▼
John Phillip, MD's National Provider Identifier (NPI) is 1285617696, issued on 11/21/2005.
Does John Phillip, MD prescribe opioids? ▼
Yes, John Phillip, MD had 29 opioid claims in 2024 with an opioid prescribing rate of 12.8%.
How many Surgery Physician providers are there in the US? ▼
There are 36,778 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 174 Medicare Part D claims per year.
What drugs does John Phillip, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, John Phillip, MD's most frequently prescribed drugs include Omeprazole, Hydrocodone-Acetaminophen, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Phillip, MD accept Medicare? ▼
John Phillip, MD appears in CMS Medicare data with 227 Part D claims and 78 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Phillip, MD's credentials? ▼
John Phillip, MD's NPI is 1285617696 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.