Phillip Rappold, MD, PHD
NPI 1265859185 · Urology Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Rappold, MD, PHD is a Urology Physician provider in Rochester, NY (NPI 1265859185).
Provider details
- NPI number
- 1265859185
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 304143 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
171 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 85 | $93 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 41 | $76 |
| Biopsy of Prostate Gland55700 | 19 | $122 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 14 | $129 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 12 | $137 |
Typical Medicare-allowed amounts for these services range $76–$137 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 162 | 50 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 60 | 23 |
| Mirabegronbrand: Myrbetriq | 24 | — |
| Finasteride | 21 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 20 | 18 |
| Cephalexin | 16 | 15 |
| Trospium Chloride | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13,026 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-28
- Last updated
- 2023-07-17
- Certified
- 2022-10-24
Frequently asked questions
- What is Phillip Rappold's NPI number?
- Phillip Rappold's National Provider Identifier (NPI) is 1265859185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Rappold's specialty?
- Phillip Rappold is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Phillip Rappold located?
- Phillip Rappold's practice location on file with NPPES is 601 Elmwood Ave, Rochester, NY 14642-0001.
- What is Phillip Rappold's phone number?
- The practice phone number listed in the NPPES registry for Phillip Rappold is (585) 275-2723.
- Does Phillip Rappold accept Medicare?
- Phillip Rappold is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Rappold's NPI active?
- Yes — Phillip Rappold's NPI (1265859185) is active in the NPPES registry as of the last update on 2023-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.