PHILLIP PAULK (M.D.) – Ophthalmology Physician, NPI 1336675941

PHILLIP PAULK (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 88030 (GA). The NPI Number for PHILLIP PAULK (M.D.) is 1336675941

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP PAULK (M.D.)
NPI
1336675941
Phone
(205) 971-5745
Address
817 Princeton Ave SW
Enumeration Date
3 May 2017
Last Update Date
1 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2563822700
Graduation Year
2017 (9 years ago)
PAC ID
9335496694
Group Practice PAC ID
4385530740
Professional Enrollment ID
I20231211002433
Address ID
AL358064825HU100XXNWXX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

250 OPHTHALMOLOGY in AL

Provider Addresses for PHILLIP PAULK (M.D.)

  • 817 Princeton Ave SW

    POB II, SUITE 106

    Birmingham, AL 352111333

    Phone: (205) 971-5745

    Type: Location

  • 817, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35211, United States

    POB II, SUITE 106

    BIRMINGHAM, AL 352111333

    Phone:

    Type: Mailing

  • 2616 WARM SPRINGS ROAD

    COLUMBUS, GA 319045323

    Phone: (706) 507-7530

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,490.

Total Amount is formed as General ($1,490) + Research ($0) + Ownership ($0) = $1,490.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($903).

Total Amount

$1,490

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,490

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210623002538IOphthalmologyGATBD
I20231211002433IOphthalmologyALTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes653513$0
92136Measurement of corneal curvature and depth of eye240123$0
66984Removal of cataract with insertion of prosthetic lens195125$0
92134Imaging of retina12972$0
99204New patient office or other outpatient visit, 45-59 minutes9797$0
View full utilization report →

Insurance plans in this area (ZIP 35211)

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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: 4385530740View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YGA
O P T O M E T R YAL
O P T O M E T R YAL

Reviews

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Frequently asked questions

What NPI should I save for PHILLIP PAULK (M.D.)?
Save NPI 1336675941 if you need a stable reference for PHILLIP PAULK (M.D.).
Is PHILLIP PAULK (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does PHILLIP PAULK (M.D.) treat or focus on?
Patients typically see PHILLIP PAULK (M.D.) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place PHILLIP PAULK (M.D.)?
The snapshot lists Birmingham, Alabama for PHILLIP PAULK (M.D.); download NPPES for the complete set.
Is PHILLIP PAULK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1336675941. Always confirm identity and privileges with the practice and licensing boards.

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