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
- Primary practice
-
83 Hillcrest Dr, Suite 200
Punxsutawney, PA 157672605
(814) 938-3550
fax (814) 938-3679
Credentials & registration
- 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
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
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 Punxsutawney Family Medicine Physician, average services per provider: 41. This provider delivers 8.5× the peer median.Open Payments
Industry payments received
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
Medicare Part D · 2023
Top prescriptions
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
Frequently asked questions
What is Dr. Phillip States's medical specialty?
Dr. Phillip States practices Family Medicine Physician in Punxsutawney, PA.
Where does Dr. Phillip States practice?
Dr. Phillip States practices at 83 Hillcrest Dr, Punxsutawney, PA 157672605. Office phone: 8149383550.
What is Dr. Phillip States's NPI?
Dr. Phillip States's National Provider Identifier (NPI) is 1093791246, issued by NPPES.
Does Dr. Phillip States accept Medicare assignment?
Yes. Dr. Phillip States accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Phillip States commonly perform?
Top Medicare-reported procedures in 2023: Chronic care management services (HCPCS 99490); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.