PHILLIP MARLOWE (PA-C) – Physician Assistant, NPI 1760044424

PHILLIP MARLOWE (PA-C) is a healthcare provider. based in Idaho falls, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-1886 (ID). The NPI Number for PHILLIP MARLOWE (PA-C) is 1760044424

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP MARLOWE (PA-C)
NPI
1760044424
Phone
(208) 529-9292
Address
3422 S 15TH E
Enumeration Date
2 July 2019
Last Update Date
8 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
6305268723
Group Practice PAC ID
0446208904
Professional Enrollment ID
I20200611003373
Address ID
ID834014315Id1880XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

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Provider Addresses for PHILLIP MARLOWE (PA-C)

  • 3422, South 15th East, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834048262

    Phone: (208) 529-9292

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 197 Open Payments records for all available years, with a total value of $4,476.

Total Amount is formed as General ($4,476) + Research ($0) + Ownership ($0) = $4,476.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,029).

Total Amount

$4,476

General + Research + Ownership

Payments

197

Total payment records

General Amount

$4,476

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2020-06-11

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
I20200611003373IPhysician AssistantIDTBD

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 minutes6243$0
95115Professional service for single injection of allergen2521$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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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: 0446208904View full group profile
NameSpecialtyState
Family PracticeID
Physician AssistantID
Nurse PractitionerID
Physician AssistantID
Nurse PractitionerID

Reviews

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Frequently asked questions

How do payers reference PHILLIP MARLOWE (PA-C)?
For PHILLIP MARLOWE (PA-C), use NPI 1760044424 as the unique 10-digit identifier.
Active or inactive — what applies to PHILLIP MARLOWE (PA-C)?
You should see PHILLIP MARLOWE (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to PHILLIP MARLOWE (PA-C)?
PHILLIP MARLOWE (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Idaho is PHILLIP MARLOWE (PA-C) registered?
Use Idaho Falls, Idaho as the headline location for PHILLIP MARLOWE (PA-C) here.
Does PHILLIP MARLOWE (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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