SCOTT PHILBURN (PA-C) – Physician Assistant, NPI 1386984920
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for SCOTT PHILBURN (PA-C)
8950 PROFESSIONAL DR
CADILLAC, MI 496018599
Phone: (231) 775-2493
Fax: (231) 775-2570
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 122 Open Payments records for all available years, with a total value of $2,240.
Total Amount is formed as General ($2,240) + Research ($0) + Ownership ($0) = $2,240.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($546).
Total Amount
$2,240
General + Research + Ownership
Payments
122
Total payment records
General Amount
$2,240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $546 |
| Novo Nordisk Inc | $295 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $155 |
| AstraZeneca Pharmaceuticals LP | $142 |
| Dexcom, Inc. | $78 |
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: 2013-03-21
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 |
|---|---|---|---|---|
| I20130321000569 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 57 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 72 | 51 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 49 | 45 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 49601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 90670 | Pneumococcal vaccine for injection into muscle | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI |
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