AMY A PHILLIPS (PAC) – Physician Assistant, NPI 1013955160
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for AMY A PHILLIPS (PAC)
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 433511098
Phone: (419) 294-4991
Fax: (419) 209-0278
Type: Location
Hempstead Station Drive, Oakdale, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454295164
Phone: (800) 875-0136
Fax: (937) 619-4231
Type: Mailing
Marion General Hospital, 1000, McKinley Park Drive, Marion, Marion County, Ohio, 43302, United States
MARION, OH 433026399
Phone: (740) 383-8700
Fax: (740) 383-8517
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: 2009-07-22
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 |
|---|---|---|---|---|
| I20090722000290 | I | Physician Assistant | OH | 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 | 21 | 21 | $0 |
Insurance plans in this area (ZIP 43351)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OH | 81002 | Urinalysis, manual test | 20 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | OH | |
| Pain Management | OH | |
| Nurse Practitioner | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | OH | |
| Hand Surgery, Orthopedic Surgery | OH | |
| Hematology, Internal Medicine, Hematology/Oncology | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine, Internal Medicine | OH |
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