JASON S PHILLIPS (PA-C) – Surgical Physician Assistant, NPI 1992878946

JASON S PHILLIPS (PA-C) is a healthcare provider. based in Moscow, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-1735 (ID). The NPI Number for JASON S PHILLIPS (PA-C) is 1992878946

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JASON S PHILLIPS (PA-C)
NPI
1992878946
Phone
(208) 883-1135
Address
2301 W A ST
Enumeration Date
16 November 2006
Last Update Date
27 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088831135
Graduation Year
2006 (20 years ago)
PAC ID
0648271825
Group Practice PAC ID
4981984390
Professional Enrollment ID
I20191109000039
Address ID
ID838434038MO2301XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for JASON S PHILLIPS (PA-C)

  • 2301 W A ST

    MOSCOW, ID 838434038

    Phone: (208) 883-1135

    Fax: (208) 892-0174

    Type: Location

  • PO BOX 8007

    MOSCOW, ID 838430507

    Phone: (208) 883-1135

    Fax: (208) 892-0174

    Type: Mailing

  • (Building "A"), 14420, West Meeker Boulevard, Sun City West, Maricopa County, Arizona, 85375, United States

    SUITE 300

    SUN CITY WEST, AZ 853755286

    Phone: (623) 537-5600

    Fax: (623) 537-5601

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-10-24 • Largest payer in this snapshot: STEELHEAD SURGICAL INC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
STEELHEAD SURGICAL INC$15
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: 2025-08-06

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
I20191109000039IPhysician AssistantIDTBD
I20250806000784IPhysician AssistantKYTBD

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 minutes9867$0
20610Aspiration and/or injection of fluid from large joint3828$0
99212Established patient office or other outpatient visit, 10-19 minutes2621$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
27130Replacement of thigh bone and hip joint with prosthesis1919$0
View full utilization report →

Insurance plans in this area (ZIP 83843)

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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: 4981984390View full group profile
NameSpecialtyState
Orthopedic SurgeryWA
Certified Registered Nurse Anesthetist (Crna)ID
Internal MedicineID
Orthopedic SurgeryID
Internal MedicineNY
Nurse PractitionerID
-WA
U R O L O G YWA
Certified Registered Nurse Anesthetist (Crna)ID
Physician AssistantID

Reviews

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Frequently asked questions

Where can patients find JASON S PHILLIPS (PA-C)'s NPI?
You can confirm JASON S PHILLIPS (PA-C) with NPI 1992878946; it appears in the national provider directory.
Is JASON S PHILLIPS (PA-C)'s NPI currently valid?
The extract we use shows JASON S PHILLIPS (PA-C) as active.
What kind of provider is JASON S PHILLIPS (PA-C)?
The page reflects Surgical Physician Assistant for JASON S PHILLIPS (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for JASON S PHILLIPS (PA-C)?
We surface Moscow, Idaho for JASON S PHILLIPS (PA-C) based on available NPPES addresses.
How can I contact JASON S PHILLIPS (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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