JESSE E PHILLIPS (MD) – Otolaryngology Physician, NPI 1457351983
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
222 SLEEP MEDICINE in FL
Provider Addresses for JESSE E PHILLIPS (MD)
1731 SW Gatlin Blvd
Port St Lucie, FL 349532757
Phone: (772) 344-0022
Fax: (772) 344-0032
Type: Location
4632 S 25TH ST
FORT PIERCE, FL 349815057
Phone: (772) 464-9595
Fax: (772) 460-2624
Type: Mailing
1801, Southeast Hillmoor Drive, Port St. Lucie, St. Lucie County, Florida, 34952, United States
SUITE B105
PORT ST LUCIE, FL 349527545
Phone: (772) 398-9911
Fax: (772) 398-4374
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $520.
Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($119).
Total Amount
$520
General + Research + Ownership
Payments
18
Total payment records
General Amount
$520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-02-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150217002210 | I | Otolaryngology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 746 | 497 | $0 |
| 95004 | Test for allergy using allergenic extract | 649 | 15 | $0 |
| 69210 | Removal of impacted ear wax | 440 | 356 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 436 | 319 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 421 | 17 | $0 |
Insurance plans in this area (ZIP 34953)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Physician Assistant | WI | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| Physician Assistant | FL | |
| O T O L A R Y N G O L O G Y | FL |
Reviews
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