SEAN PHILLIPS (PA-C) – Physician Assistant, NPI 1033438320

SEAN PHILLIPS (PA-C) is a healthcare provider. based in Owensboro, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. TC059 (KY). The NPI Number for SEAN PHILLIPS (PA-C) is 1033438320

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SEAN PHILLIPS (PA-C)
NPI
1033438320
Phone
(270) 417-5911
Address
1201 Pleasant Valley Rd
Enumeration Date
26 May 2010
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5055962200
Graduation Year
2009 (17 years ago)
PAC ID
5193943041
Group Practice PAC ID
9234041708
Professional Enrollment ID
I20260402002374
Address ID
NM871203699AL4515XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:16State licenses:4Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for SEAN PHILLIPS (PA-C)

  • 1201 Pleasant Valley Rd

    Owensboro, KY 423039811

    Phone: (270) 417-5911

    Type: Location

  • 1656 CHAMPLIN AVE

    UTICA, NY 135024830

    Phone: (315) 624-6068

    Fax: (315) 624-6308

    Type: Mailing

  • 440 Hopkinsville St

    Greenville, KY 423451124

    Phone: (270) 338-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20140905002001IPhysician AssistantNYTBD
I20160907002845IPhysician AssistantCTTBD
I20210701001756IPhysician AssistantTNTBD
I20230901002516IPhysician AssistantMOTBD
I20250721004172IPhysician AssistantVATBD
I20250924003534IPhysician AssistantOHTBD

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
99284Emergency department visit with moderate level of medical decision making3737$0
99285Emergency department visit with high level of medical decision making2424$0
View full utilization report →

Insurance plans in this area (ZIP 42303)

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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: 9234041708View full group profile

Reviews

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Frequently asked questions

What federal number belongs to SEAN PHILLIPS (PA-C)?
The federal identifier for SEAN PHILLIPS (PA-C) is NPI 1033438320.
Is SEAN PHILLIPS (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SEAN PHILLIPS (PA-C)'s specialty in plain language?
Clinically, the directory lists SEAN PHILLIPS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for SEAN PHILLIPS (PA-C)?
We surface Owensboro, Kentucky for SEAN PHILLIPS (PA-C) based on available NPPES addresses.
What if Owensboro, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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