PHILLIP JOHN STATES M.D. NPI 1093791246

NPI Information

  • NPI: 1093791246
  • Provider Name: PHILLIP JOHN STATES, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 83 HILLCREST DR
    SUITE 200
    PUNXSUTAWNEY, PA
    ZIP 15767
  • Phone: (814) 938-3550

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NPI Details

Phillip John States, M.D. is a family medicine in Punxsutawney, PA with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Phillip John States, M.D. NPI is 1093791246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

83 HILLCREST DR
SUITE 200
PUNXSUTAWNEY, PA
ZIP 15767-605
Phone: (814) 938-3550
Fax: (814) 938-3679

The NPI 1093791246 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of vaccine (HCPCS:90471)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Advance care planning, first 30 minutes (HCPCS:99497)

The enumeration date for this NPI number is 12/20/2005 and was last updated on 10/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD423371PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11641714OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
21030096480002MEDICAIDPENNSYLVANIA
3081510MEDICARE PINPENNSYLVANIA
4I12052MEDICARE UPINPENNSYLVANIA
51010451800001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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