Doctor profile · Federal record

Dr. PHILLIP STATES, M.D.

Family Medicine Physician (CMS: FAMILY PRACTICE) · PUNXSUTAWNEY, PA

  • NPI 1093791246
  • Accepts Medicare
  • MIPS 64.6 / 100 · 2023
  • 25 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
83 HILLCREST DR, SUITE 200
PUNXSUTAWNEY, PA 157672605
(814) 938-3550
fax (814) 938-3679

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
October 30, 2015
Year of graduation
2001 — 25 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Pennsylvania #MD423371
Medicaid (2)
PA #1010451800001 · PA #1030096480002

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093791246. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
347
Distinct HCPCS
9
Medicare allowed
$26,747
HCPCS Description Services Patients Avg allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 183 37 $59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 44 24 $76
99214 Established patient office or other outpatient visit, 30-39 minutes 37 33 $119
99213 Established patient office or other outpatient visit, 20-29 minutes 18 13 $86
99238 Hospital discharge day management, 30 minutes or less 16 15 $78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 14 14 $125
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 12 11 $38
99495 Transitional care management services for problem of at least moderate complexity 12 11 $195
99497 Advance care planning, first 30 minutes 11 11 $80

In context: peer comparison

Among 3 peers in this city , average services per provider: 41. This provider delivers 8.5× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$357
Transactions
19
Manufacturers
14
Payer (manufacturer) Industry Txns Amount
Exact Sciences Corporation 2 $48.98
Novo Nordisk Inc 3 $47.13
Otsuka America Pharmaceutical, Inc. 2 $42.37
Lilly USA, LLC 2 $40.11
Alkermes, Inc. 1 $26.06
Amgen Inc. 1 $19.77
Inspire Medical Systems, Inc. 1 $19.68
Janssen Pharmaceuticals, Inc 1 $18.56
iRhythm Technologies, Inc. 1 $18.44
SHIELD THERAPEUTICS INC 1 $18.16
ABBVIE INC. 1 $17.00
Boehringer Ingelheim Pharmaceuticals, Inc. 1 $13.89
Salix Pharmaceuticals, a division of Bausch Health US, LLC 1 $13.72
Exeltis, USA Inc. 1 $13.14

By nature of payment

Food and Beverage
$357

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
3,087
Patients
755
Total drug cost
$168,728
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 375 96 $6,255
Lisinopril Generic 369 92 $4,008
Levothyroxine Sodium Generic 344 69 $5,167
Pantoprazole Sodium Generic 227 55 $3,712
Potassium Chloride Generic 216 62 $6,660
Amlodipine Besylate Generic 201 47 $1,453
Simvastatin Generic 169 40 $2,205
Lorazepam Generic 160 40 $1,238
Gabapentin Generic 157 35 $3,213
Omeprazole Generic 157 49 $2,757

Hospital affiliations

CMS Hospital Compare