KENDALL LEIGH PHILLIPS (PA) – Physician Assistant, NPI 1306840327
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for KENDALL LEIGH PHILLIPS (PA)
North Lee Avenue, Midtown Oklahoma City, Oklahoma City, Oklahoma County, Oklahoma, 73103, United States
OKLAHOMA CITY, OK 731032612
Phone: (405) 230-9000
Fax: (405) 230-9421
Type: Mailing
1110 N Lee Ave
Oklahoma City, OK 731032612
Phone: (405) 230-9000
Fax: (405) 230-9421
Type: Location
825 NE 10TH ST # 1C
OKLAHOMA CITY, OK 731045417
Phone: (405) 271-2663
Fax: (405) 271-3074
Type: Location
10232 BALD CYPRESS DR
OKLAHOMA CITY, OK 731202081
Phone: (405) 206-3589
Type: Mailing
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: 2005-06-04
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 |
|---|---|---|---|---|
| I20050604000087 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 256 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 39 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 41 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 22 | $0 |
Insurance plans in this area (ZIP 73103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| A N E S T H E S I O L O G Y | OK | |
| O P H T H A L M O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| R H E U M A T O L O G Y | OK | |
| Cardiovascular Disease (Cardiology) | OK | |
| Nurse Practitioner | OK | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK |
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