Quick answers
- Does Terence J. Philbin accept Medicare assignment?
- Yes. Medicare's clinician data says Terence J. Philbin accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Terence J. Philbin see?
- In 2024, CMS data shows 343 Original Medicare patients and 3,388 services for Terence J. Philbin. This counts Original Medicare only and measures volume, not quality.
- What is Terence J. Philbin's NPI number?
- 1649233784. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Terence J. Philbin, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 343 |
|---|---|
| Services billed to Medicare | 3,388 |
| Different services or procedures | 72 |
| Participating Medicare provider | Yes |
| Average age of these patients | 76 |
Most frequent services
- Insertion of needle into vein for collection of blood sample (36415)345 services
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (85025)277 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)277 services
- Blood test, comprehensive group of blood chemicals (80053)241 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)239 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol57%
- Arthritis41%
- Diabetes32%
- Ischemic heart disease24%
- Atrial fibrillation23%
Hospitals where Terence J. Philbin works
Medicare's Facility Affiliation Data lists Terence J. Philbin at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Heritage Valley SewickleySewickley, PA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 390037
- Magee Womens Hospital of UPMC Health SystemPittsburgh, PA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 390114
- St Clair HospitalPittsburgh, PA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 390228
- UPMC MercyPittsburgh, PA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 390028
- UPMC Presbyterian ShadysidePittsburgh, PA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 390164
Practice locations
Addresses where Terence J. Philbin is enrolled with Medicare (CMS data updated October 2, 2026).
- 2375 Greentree RdCarnegie, PA 15106 (412) 276‑1560
- 2375 Greentree Rd, Fl 2Carnegie, PA 15106 (412) 249‑1663
- 92 Bradford AveCrafton, PA 15205 (412) 922‑2111
Group practices
Medicare enrollment lists Terence J. Philbin as a member of this group (CMS data updated October 2, 2026).
- Preferred Primary Care Physicians, Inc.88 clinicians in the group
Specialties
- Internal Medicineprimary
- Geriatric Medicinealso
Other internal medicine doctors in Carnegie
Clinicians with the same Medicare primary specialty in Carnegie, PA — not a recommendation.
Other clinicians in Preferred Primary Care Physicians, Inc.
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Graduation year | 1983 (43 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1649233784 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians