NPPES file of Aug 9, 2026

Paul M. Phillips, MD

Ophthalmology Physician · Sewickley, PA

Paul M. Phillips, MD is an ophthalmology physician with a practice address in Sewickley, Pennsylvania, and NPI 1922213107, issued on May 11, 2007. Check the license (Pennsylvania MD434452, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1922213107
Name
Paul M. Phillips
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License numbers
MD434452 PA
0101243413 VA
Self-reported in NPPES; status is on the state search
Practice location
2591 Wexford Bayne RD, Sewickley, PA 15143
Phone
(724) 933-5588
Enumerated
May 11, 2007
Record last updated
Aug 4, 2008 (not updated in 18 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20080702000015); accepts Medicare assignment
Medical or professional school
University Of Cincinnati College Of Medicine, 2003
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 2591 Wexford Bayne RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Christopher Carver, ODOptometrist1154313385
  2. Sylvia Herdt, LCSWClinical Social Worker1023033990
  3. Steven Hoffman, P.T.Sports Physical Therapist1245287705
  4. Christopher Hughes, P.T., PH. D., OCSOrthopedic Physical Therapist1609818624
  5. Charlene Maloney, O.D.Optometrist1699742296
  6. Louis Phillips, O.D.Optometrist1679535033

Verify Paul M. Phillips in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD434452
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

31% more Medicare Part D claims than the average ophthalmology physician in 2024

1,991 Medicare Part D claims for 451 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 41% of claims.

  1. Paul Phillips1,991
  2. Specialty average1,518

Most prescribed

  1. Prednisolone Acetate781 claims
  2. Ofloxacin488 claims
  3. Ketorolac Tromethamine484 claims
  4. Fluorometholone32 claims
  5. Brimonidine Tartrate30 claims
  6. Gabapentin26 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 95.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%83.9
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $723.41

30 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Phillips$723.41
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Sightline Ophthalmic Associates, P.C.Beaver Falls, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul M. Phillips among 1,088 ophthalmology physician records in Pennsylvania

Paul M. Phillips, MD is one of 1,088 ophthalmology physician records with a practice address in Pennsylvania. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 60% of them.

  • NPI issued2007 · 60% of these records are older, 33% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2003 · median 2000 among the 734 with a school on file
  • Record last updated2008 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

10 ophthalmology physician records list a practice address in Sewickley

They are 10 of the 528 NPPES records with a practice address in Sewickley, and 1,088 ophthalmology physician records in Pennsylvania.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Ivan Baumwell, M.D.Sewickley, PA 151431891709382
  2. Richard Bowers, M.D.Sewickley, PA 151431588648109
  3. Kevin Clark, MDSewickley, PA 151431447366976
  4. Amanda Cook, M.D.Sewickley, PA 151431912999822
  5. Derek Leale, MDSewickley, PA 151431942769088
  6. Daniel NadlerSewickley, PA 151431699777821
  7. Robert Pavlis, MDSewickley, PA 151431396850889
  8. Allan Press, MDSewickley, PA 151431952416463

Common questions

What is Paul M. Phillips, MD's NPI number?

Paul M. Phillips, MD's National Provider Identifier (NPI) is 1922213107, issued on May 11, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Paul M. Phillips, MD located?

The NPPES record lists a practice address at 2591 Wexford Bayne RD, Sewickley, PA, 15143. Phone: (724) 933-5588. Providers update this record themselves, so call before visiting.

How can I verify Paul M. Phillips, MD's license?

NPPES lists Pennsylvania license number MD434452, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul M. Phillips, MD prescribe under Medicare Part D?

In 2024, Paul M. Phillips, MD had 1,991 Medicare Part D claims for 451 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Paul M. Phillips, MD's MIPS final score?

The 2023 MIPS final score is 95.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.