DR. JIM JASON PHILLIPS (MD) – Family Medicine Physician, NPI 1013086040

DR. JIM JASON PHILLIPS (MD) is a healthcare provider. based in Carthage, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. K5658 (TX). The NPI Number for DR. JIM JASON PHILLIPS (MD) is 1013086040

Main info

Male
Sole Proprietor
29 Years Of Experience
Name
DR. JIM JASON PHILLIPS (MD)
NPI
1013086040
Phone
(903) 693-9375
Address
PO BOX 519
Enumeration Date
6 November 2006
Last Update Date
30 June 2010

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9402205901
Graduation Year
1997 (29 years ago)
PAC ID
4981875002
Group Practice PAC ID
3072679828
Professional Enrollment ID
I20110922000105
Address ID
TX762011650DE2310XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. JIM JASON PHILLIPS (MD)

  • PO BOX 519

    CARTHAGE, TX 756330519

    Phone: (903) 693-9375

    Fax: (903) 694-4654

    Type: Mailing

  • 1410, West Panola Street, Carthage, Panola County, Texas, 75633, United States

    CARTHAGE, TX 756332348

    Phone: (903) 693-9375

    Fax: (903) 694-4654

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $693.

Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.

Last reported payment date: 2023-10-08 • Largest payer in this snapshot: Merz North America, Inc. ($693).

Total Amount

$693

General + Research + Ownership

Payments

2

Total payment records

General Amount

$693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merz North America, Inc.$693
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: 2011-09-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110922000105IFamily PracticeTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg85079$0
J0696Injection, ceftriaxone sodium, per 250 mg29171$0
99213Established patient office or other outpatient visit, 20-29 minutes148142$0
96372Injection of drug or substance under skin or into muscle14788$0
99214Established patient office or other outpatient visit, 30-39 minutes124117$0
View full utilization report →

Insurance plans in this area (ZIP 75633)

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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: 3072679828View full group profile
NameSpecialtyState
Internal MedicineTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineLA
Family Practice, Emergency MedicineTX
Physician AssistantKS
Emergency Medicine, Undersea And Hyperbaric MedicineTX
Emergency MedicineTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is DR. JIM JASON PHILLIPS (MD)'s NPI number?
DR. JIM JASON PHILLIPS (MD)'s NPI is 1013086040 — the number used across U.S. healthcare to identify this provider.
Would DR. JIM JASON PHILLIPS (MD) appear as active to a payer?
You can treat DR. JIM JASON PHILLIPS (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JIM JASON PHILLIPS (MD)?
DR. JIM JASON PHILLIPS (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JIM JASON PHILLIPS (MD) associated with Carthage?
Public fields place DR. JIM JASON PHILLIPS (MD) around Carthage, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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