Doctor profile · Federal record

Dr. Randall Phillips, M.D.

Diagnostic Radiology Physician · Lake Grove, NY

  • NPI 1154304962
  • MIPS 0.0 / 100 · 2023
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
2780 Middle Country RD Ste 210
Lake Grove, NY 117552120
(631) 588-4500
fax (631) 588-4595
Additional location
4 Cobbler Ln
East Setauket, NY 117331168
(952) 595-1100
fax (612) 294-4903

Credentials & registration

NPPES · NUCC
NPI registered
November 2005 — 21 yrs on file
Profile last updated
December 4, 2017
Specialty taxonomy
2085R0202X — NUCC code
State license (1)
New York #146974

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154304962. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
992
Distinct HCPCS
5
Medicare allowed
$118,451
HCPCS Description Services Patients Avg allowed
77067 Screening mammography 375 375 $153
77063 Screening 3d breast mammography 374 374 $62
76641 Complete ultrasound scan of 1 breast 191 179 $171
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 29 28 $62
77065 Diagnostic mammography of 1 breast 23 22 $150

In context: peer comparison

Among 1 peers in Lake Grove Diagnostic Radiology Physician, average services per provider: 198. This provider delivers 5.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Randall Phillips's medical specialty?
Dr. Randall Phillips practices Diagnostic Radiology Physician in Lake Grove, NY.
Where does Dr. Randall Phillips practice?
Dr. Randall Phillips practices at 2780 Middle Country RD Ste 210, Lake Grove, NY 117552120. Office phone: 6315884500.
What is Dr. Randall Phillips's NPI?
Dr. Randall Phillips's National Provider Identifier (NPI) is 1154304962, issued by NPPES.
What procedures does Dr. Randall Phillips commonly perform?
Top Medicare-reported procedures in 2023: Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063); Complete ultrasound scan of 1 breast (HCPCS 76641). Source: CMS Medicare Physician & Other Practitioners file.