EAN PHILLIPS – Physician Assistant, NPI 1013531177

EAN PHILLIPS is a healthcare provider. based in Gainesville, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9113414 (FL). The NPI Number for EAN PHILLIPS is 1013531177

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
EAN PHILLIPS
NPI
1013531177
Phone
(352) 336-6000
Address
4500 NEWBERRY RD
Enumeration Date
4 June 2020
Last Update Date
26 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7864675753
Graduation Year
2020 (6 years ago)
PAC ID
3274951827
Group Practice PAC ID
9335228899
Professional Enrollment ID
I20200914001275
Address ID
FL331566530PI13101HWYX415

Contacts

Secure Messaging
EAN09818@cerner.baptisthealth.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for EAN PHILLIPS

  • 4500 NEWBERRY RD

    GAINESVILLE, FL 326072245

    Phone: (352) 336-6000

    Type: Mailing

  • PO BOX 100905

    ATLANTA, GA 303842727

    Phone: (786) 594-6880

    Fax: (352) 273-7388

    Type: Mailing

  • 13101 S DIXIE HWY STE 400

    PINECREST, FL 331566530

    Phone: (786) 467-5753

    Type: Location

  • 15955 SW 96th St Ste 401

    Miami, FL 331961273

    Phone: (786) 467-3430

    Type: Location

  • 1150 Campo Sano Ave Fl 1

    Coral Gables, FL 331461174

    Phone: (786) 268-6200

    Type: Location

  • PO BOX 112727

    GAINESVILLE, FL 326112727

    Phone: (352) 273-7002

    Fax: (352) 273-7388

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326102245

    Phone: (352) 273-7002

    Fax: (352) 273-7388

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $355.

Total Amount is formed as General ($355) + Research ($0) + Ownership ($0) = $355.

Last reported payment date: 2023-05-20 • Largest payer in this snapshot: Stryker Corporation ($172).

Total Amount

$355

General + Research + Ownership

Payments

11

Total payment records

General Amount

$355

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-20

Latest reported date

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: 2020-09-14

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
I20200914001275IPhysician AssistantFLTBD

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
73630X-ray of foot, minimum of 3 views5339$0
99213Established patient office or other outpatient visit, 20-29 minutes3427$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
73610X-ray of ankle, minimum of 3 views2621$0
99212Established patient office or other outpatient visit, 10-19 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 32607)

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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: 9335228899View full group profile

Reviews

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Frequently asked questions

What NPI should I save for EAN PHILLIPS?
Save NPI 1013531177 if you need a stable reference for EAN PHILLIPS.
Is EAN PHILLIPS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does EAN PHILLIPS treat or focus on?
Patients typically see EAN PHILLIPS under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place EAN PHILLIPS?
The snapshot lists Gainesville, Florida for EAN PHILLIPS; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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