Dr. Phillip Pirgousis, MD

  • Jacksonville, FL
  • Otolaryngologist
NPI1790913432PAC ID2860530284
Medicare services, 2024
437
Medicare patients, 2024
271
Part D claims, 2024
48
Publications
14
MIPS score, 2024
84
Practice address
4500 San Pablo Rd, Jacksonville, FL 32224
Practice phone
Call (904) 953-2000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Mayo Clinic Hospital

Hospital · Jacksonville, Florida

See all 3 affiliations

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Dr. Phillip Pirgousis is an otolaryngologist in Jacksonville, Florida

Dr. Pirgousis practices at Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic.

Dr. Pirgousis' NPI, 1790913432, was assigned on July 1, 2009. Dr. Pirgousis graduated from Other in 2004. Dr. Pirgousis holds Florida license MFC1800.

NPI and contact details
Medicare PAC ID
2860530284
NPI enumeration date
July 1, 2009
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(904) 953-2000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
49
Medical school graduation
2004

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Phillip Pirgousis practices at Mayo Clinic Hospital in Jacksonville, Florida

Dr. Pirgousis' primary practice is Mayo Clinic Hospital, at 4500 San Pablo Rd, Jacksonville, FL 32224 in Duval County. The practice phone is (904) 953-2000.

  • Mayo Clinic Hospital
    4500 San Pablo Rd, Jacksonville, FL 32224 · Duval CountyPhone(904) 953-2000

Source: Dmand AI Affiliation Data

Dr. Phillip Pirgousis is affiliated with 2 sites of care and 1 medical group

Dr. Pirgousis' primary practice is Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic. The medical group on file is Mayo Clinic Jacksonville. Dmand AI also links Dr. Pirgousis to 1 more home health agency, named with a free account.

See all 3 affiliations for Dr. Pirgousis

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Phillip Pirgousis' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pirgousis practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Mayo Clinic HospitalAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Phillip Pirgousis is one of 559 otolaryngologists in Florida

Otolaryngology is Dr. Pirgousis' primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Pirgousis is board certified in plastic surgery within the head and neck by the American Board of Otolaryngology - Head and Neck Surgery. Dr. Pirgousis is licensed in Florida.

Specialties and state licenses

  • Otolaryngology, FloridaPrimaryLicense MFC1800 · 2023 to 2027 · taxonomy 207Y00000X

Clinical focus

Dmand AI lists endoscopic sinus surgery and larynx and vocal cord disease among the conditions Dr. Pirgousis treats.

Otolaryngologists near Dr. Pirgousis

Counts of otolaryngologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Phillip Pirgousis billed Medicare for 437 services in 2024

CMS data shows 437 Medicare services from Dr. Pirgousis across 12 procedure codes in 2024, for 271 Medicare patients. Medicare paid $110,319 for them.

Medicare services, 2024437
Medicare patients271
Paid by Medicare$110,319
Procedure codes12

Dr. Pirgousis' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1932024: 23723%
Surgery
2023: 1172024: 20071%

Where Dr. Pirgousis' Medicare services took place, 2024

  • In an office28465%
  • In a facility15335%

Dr. Pirgousis compared with the Florida median for otolaryngologists, 2024

  • Dr. Pirgousis
  • Florida median
Medicare services
437vs 89851% below
Medicare patients
271vs 36626% below
Part D claims
42vs 34088% below

Medians across 541 otolaryngologists in Florida with Dmand AI profiles that report each measure.

Dr. Pirgousis' most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Pirgousis

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Pirgousis and other otolaryngologists in Florida.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Phillip Pirgousis treated 271 Medicare patients in 2024, average age 75

CMS counts 271 Medicare patients who saw Dr. Pirgousis in 2024. The largest group is 75 to 84, with 118 patients. 75% of them have high blood pressure, and 75% have high cholesterol. Their average risk score is 1.87, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Pirgousis' median patient age at 72, with 39% women.

Medicare patients, 2024271
Average age75
Average risk score1.87

Dr. Pirgousis' Medicare patients by age, 2024

Dr. Pirgousis' Medicare patients by sex, 2024

  • Women10940%
  • Men16260%

Chronic conditions among Dr. Pirgousis' Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis47%
  4. Chronic kidney disease34%
  5. Ischemic heart disease34%
  6. Diabetes29%
  7. Anxiety27%
  8. Cancer27%

Share of Medicare patients with each condition. A patient can have several.

Dr. Pirgousis' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women39%
  • Men61%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Phillip Pirgousis wrote 48 Medicare Part D claims in 2024

In 2024, Dr. Pirgousis wrote 48 Medicare Part D claims for 32 patients. 94% of them were for generic drugs. CMS names the drug for 42 of them, across 3 drugs with 11 or more claims each, at $639 in total drug cost. In 2022, CMS named 68 claims across 3 drugs.

Part D claims, 202448
Drugs named by CMS3
Total drug cost$639
Part D patients32

Dr. Pirgousis' Part D claims by kind of drug, 2024

  • Generic45 claims94%
  • Brand-name and other3 claims6%

Dr. Pirgousis' most prescribed drugs by claims, 2023

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Pirgousis' Part D claims, 2024

  • Antibiotics38%18 of 48 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2022 to 2023

  • 2022
  • 2023
Claims for drugs CMS names
2022: 682023: 4238%

Drugs named by CMS: 3 in 2023, 3 in 2022.

See all prescribing by Dr. Pirgousis

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Phillip Pirgousis scored 84 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Dr. Pirgousis for performance year 2024, reported as part of a group. Dr. Pirgousis accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Pirgousis as offering telehealth. CMS counts 38 procedures of melanoma (skin cancer) excision by Dr. Pirgousis, more than 83% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Pirgousis' MIPS scores, performance year 2024

  • 84of 100Final score
  • 74.8of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 73of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Pirgousis ranks in Medicare procedure volume

Melanoma (skin cancer) excision
83rd percentile38 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)

Spinal fusion: 1 to 10 procedures (CMS shows small counts as a range)

Upper gastrointestinal (GI) endoscopy for acid reflux: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

For MedTech and pharma teams

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Dr. Phillip Pirgousis has 14 publications on record

Dmand AI links 14 papers to Dr. Pirgousis, published from 2012 to 2024. 2013 was the busiest year, with 2. The most frequent topics are Plastic Surgery Procedures, Head and Neck Neoplasms and Lymphatic Metastasis. Dr. Pirgousis has published most often in J Oral Maxillofac Surg. Dr. Pirgousis' most frequent co-authors are Rui Paulo Fernandes, DMD, MD, Roi Dagan, MD and Arun Gopinath, MD.

Papers14
Years published2012 to 2024

Dr. Pirgousis' papers by year, 2012 to 2024

Topics Dr. Pirgousis writes about most

  • Plastic Surgery Procedures
  • Head and Neck Neoplasms
  • Lymphatic Metastasis
  • Bone Transplantation
  • Carcinoma, Squamous Cell
  • COVID-19
  • Fibula
  • Free Tissue Flaps

Dr. Pirgousis' most frequent co-authors

Recent publications by Dr. Pirgousis

See all 14 publications and co-authors

See who Dr. Pirgousis researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Pirgousis works with, so you can find a warm path to the right otolaryngologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Phillip Pirgousis received $20,288 in industry payments from 2016 to 2022

CMS Open Payments shows 44 general payments to Dr. Pirgousis from 10 drug and device companies from 2016 to 2022. Consulting fees make up the largest share, 36% of the total. Zimmer Biomet Holdings, Inc. paid the most, $7,626.

General payments to Dr. Pirgousis by program year, 2016 to 2022

General payments to Dr. Pirgousis by kind, 2016 to 2022

$20.3Kin total
  • Consulting fees$7,31036%
  • Education$4,50022%
  • Travel and lodging$3,21816%
  • Accredited education speaker fees$3,00015%
  • Food and beverage$2,26011%

Companies that paid Dr. Pirgousis the most, 2016 to 2022

Share is of all general payments to this clinician.

See all payments to Dr. Pirgousis

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Phillip Pirgousis graduated from Other

Dr. Pirgousis graduated from Other in 2004. Dr. Pirgousis is a member of NHS, ACS and ATA.

  1. Medical schoolOther
  2. Board certified in plastic surgery within the head and neckAmerican Board of Otolaryngology - Head and Neck Surgery

Source: Dmand AI Professional Profile Data

Dr. Phillip Pirgousis accepts plans from 9 insurance carriers

Dr. Pirgousis is in network with 9 carriers, including Aetna, United Healthcare and Aspirus Health Plan. PPO plans come from the most carriers, 4. Check the plan with the practice before a visit.

  • Aetna
  • United Healthcare
  • Aspirus Health Plan
  • Blue Cross and Blue Shield of Kansas City
  • Blue Cross Blue Shield of Michigan
  • CMS Medicare
  • Elevance
  • GA State Medicaid
  • +1 more carriersWith a free account

Plan types Dr. Pirgousis accepts, by number of carriers

  1. PPO4
  2. Medicare3
  3. POS3
  4. EPO2
  5. HMO2
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Phillip Pirgousis's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Phillip Pirgousis

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Phillip Pirgousis' NPI number?

Dr. Phillip Pirgousis' NPI number is 1790913432. It was assigned on July 1, 2009, and it is active in the NPI Registry.

What kind of doctor is Dr. Phillip Pirgousis?

Dr. Phillip Pirgousis is an otolaryngologist in Jacksonville, Florida. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).

Where does Dr. Phillip Pirgousis practice?

Dr. Pirgousis practices at 4500 San Pablo Rd, Jacksonville, FL 32224. Dr. Pirgousis' primary practice is Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic. Dmand AI also links Dr. Pirgousis to 1 home health agency.

What is Dr. Phillip Pirgousis' office phone number?

The practice phone on file for Dr. Pirgousis is (904) 953-2000.

What is Dr. Phillip Pirgousis' medical license number?

Dr. Pirgousis holds Florida license MFC1800.

Which hospitals is Dr. Phillip Pirgousis affiliated with?

Dr. Pirgousis practices at Mayo Clinic Hospital in Jacksonville, Florida.

What medical group is Dr. Phillip Pirgousis part of?

Dr. Pirgousis is linked to Mayo Clinic Jacksonville.

Does Dr. Phillip Pirgousis accept Medicare?

Yes. CMS data shows Dr. Pirgousis billed Medicare for 437 services in 2024, and Dr. Pirgousis accepts Medicare assignment.

Does Dr. Phillip Pirgousis offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Pirgousis as offering telehealth services.

What is Dr. Phillip Pirgousis' MIPS score?

Dr. Pirgousis' MIPS final score for performance year 2024 is 84 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Phillip Pirgousis see?

CMS counts 271 Medicare patients who saw Dr. Pirgousis in 2024, with an average age of 75.

Is Dr. Phillip Pirgousis board certified?

Yes. Dr. Pirgousis is board certified in plastic surgery within the head and neck by the American Board of Otolaryngology - Head and Neck Surgery.

What services does Dr. Phillip Pirgousis bill to Medicare?

In 2024, Dr. Pirgousis' most billed Medicare services were office visit, new patient (99204), office visit, established patient (99213) and office visit, established patient (99214).

Where did Dr. Phillip Pirgousis go to medical school?

Dr. Pirgousis graduated from Other in 2004.

What drugs does Dr. Phillip Pirgousis prescribe most?

In 2023 Medicare Part D data, Dr. Pirgousis' most prescribed drugs by claims were Lidocaine HCl Viscous, Chlorhexidine Gluconate and Gabapentin.

Has Dr. Phillip Pirgousis received payments from drug or device companies?

CMS Open Payments shows $20,288 in general payments to Dr. Pirgousis from 10 companies from 2016 to 2022. The largest total came from Zimmer Biomet Holdings, Inc.

How long has Dr. Phillip Pirgousis been practicing?

Dr. Pirgousis graduated from medical school in 2004, 22 years ago.

Does Dr. Phillip Pirgousis do research?

Dmand AI links 14 publications to Dr. Pirgousis, published from 2012 to 2024.

Who does Dr. Phillip Pirgousis publish with?

Dr. Pirgousis' most frequent co-authors are Rui Paulo Fernandes, DMD, MD (4 shared papers), Roi Dagan, MD (2 shared papers) and Arun Gopinath, MD (2 shared papers).

What insurance does Dr. Phillip Pirgousis accept?

Dr. Pirgousis is in network with 9 carriers, including Aetna, United Healthcare and Aspirus Health Plan. PPO plans come from the most carriers, 4. Check the plan with the practice before a visit.

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