TAYLOR PHILLIPS (OD, MBA) – Optometrist, NPI 1003438904

TAYLOR PHILLIPS (OD, MBA) is a healthcare provider. based in Demopolis, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD, MBA. They hold a License No. S-E34 (AL). The NPI Number for TAYLOR PHILLIPS (OD, MBA) is 1003438904

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR PHILLIPS (OD, MBA)
NPI
1003438904
Phone
(334) 289-0466
Address
1401 US HIGHWAY 80 W
Enumeration Date
13 May 2020
Last Update Date
13 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342890466
Graduation Year
2020 (6 years ago)
PAC ID
0941610950
Group Practice PAC ID
5597735415
Professional Enrollment ID
I20201103001184
Address ID
AL367324116DE1043XWXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for TAYLOR PHILLIPS (OD, MBA)

  • 1401 US HIGHWAY 80 W

    DEMOPOLIS, AL 367324127

    Phone: (334) 289-0466

    Type: Location

  • PO BOX 218

    GILBERTOWN, AL 369080218

    Phone: (251) 458-3914

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $315.

Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($94).

Total Amount

$315

General + Research + Ownership

Payments

7

Total payment records

General Amount

$315

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201103001184IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens1,98017$0
83861Microfluid analysis of tears21683$0
92284Evaluation of eye adaptation to light and dark with interpretation and report10178$0
92083Exam of visual field with extended testing9868$0
92250Photography of the retina9393$0
View full utilization report →

Insurance plans in this area (ZIP 36732)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597735415View full group profile
NameSpecialtyState
O P T O M E T R YAL

Reviews

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Frequently asked questions

Is there an official ID for TAYLOR PHILLIPS (OD, MBA) in U.S. healthcare records?
The official identifier for TAYLOR PHILLIPS (OD, MBA) is NPI 1003438904.
Is TAYLOR PHILLIPS (OD, MBA) shown as active in public data?
Registry records indicate TAYLOR PHILLIPS (OD, MBA) maintains an active NPI.
What expertise is attributed to TAYLOR PHILLIPS (OD, MBA)?
TAYLOR PHILLIPS (OD, MBA)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is TAYLOR PHILLIPS (OD, MBA) located near Demopolis?
TAYLOR PHILLIPS (OD, MBA) currently maps to Demopolis, Alabama in this extract.
When was this NPI issued?
Enumeration for TAYLOR PHILLIPS (OD, MBA) is noted as May 13, 2020 where the registry provides it.

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