JEFFREY SCOTT PHILLIPS (OD) – Optometrist, NPI 1134136096

JEFFREY SCOTT PHILLIPS (OD) is a healthcare provider. based in Texarkana, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 05480TG (TX). The NPI Number for JEFFREY SCOTT PHILLIPS (OD) is 1134136096

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY SCOTT PHILLIPS (OD)
NPI
1134136096
Phone
(903) 792-3705
Address
4504 TEXAS BLVD
Enumeration Date
2 August 2006
Last Update Date
30 March 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9037923705
Graduation Year
1997 (29 years ago)
PAC ID
5991992216
Group Practice PAC ID
8628265949
Professional Enrollment ID
I20101211000114
Address ID
TX755033027TE4504XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for JEFFREY SCOTT PHILLIPS (OD)

  • 4504, Texas Boulevard, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755033027

    Phone: (903) 792-3705

    Fax: (903) 794-5008

    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 7 Open Payments records for all available years, with a total value of $563.

Total Amount is formed as General ($563) + Research ($0) + Ownership ($0) = $563.

Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($539).

Total Amount

$563

General + Research + Ownership

Payments

7

Total payment records

General Amount

$563

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-12-11

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
I20101211000114IOptometryTXTBD

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
92012Established patient problem focused exam of visual system153128$0
92083Exam of visual field with extended testing124122$0
92250Photography of the retina112110$0
92014Established patient complete exam of visual system9994$0
92273Measurement of retinal and optic nerve function8786$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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Provider's Procedures

JEFFREY SCOTT PHILLIPS (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92012Eye and medical examination for diagnosis and treatment, established patient183151
OPTOMETRYTX92083Measurement of field of vision during daylight conditions2929

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: 8628265949View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What is the registry number for JEFFREY SCOTT PHILLIPS (OD)?
The registry entry for JEFFREY SCOTT PHILLIPS (OD) shows NPI 1134136096.
Is JEFFREY SCOTT PHILLIPS (OD)'s NPI status active today?
Active status means JEFFREY SCOTT PHILLIPS (OD)'s NPI record is not deactivated in the public file.
How should patients interpret JEFFREY SCOTT PHILLIPS (OD)'s specialty?
The extract shows Optometrist for JEFFREY SCOTT PHILLIPS (OD). Clinical services aligned with this taxonomy classification.
Is JEFFREY SCOTT PHILLIPS (OD) tied to Texarkana, Texas?
If you are local to Texarkana, Texas, JEFFREY SCOTT PHILLIPS (OD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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