SCOTT ALAN PHILLIPS (PA-C) – Physician Assistant, NPI 1669722393

SCOTT ALAN PHILLIPS (PA-C) is a healthcare provider. based in Tyler, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA07893 (TX). The NPI Number for SCOTT ALAN PHILLIPS (PA-C) is 1669722393

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT ALAN PHILLIPS (PA-C)
NPI
1669722393
Phone
(903) 561-9255
Address
5777 NEW COPELAND RD
Enumeration Date
10 September 2012
Last Update Date
9 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035619255
Graduation Year
2012 (14 years ago)
PAC ID
7214186881
Group Practice PAC ID
5496751497
Professional Enrollment ID
I20120926000302
Address ID
TX757033905TY5777XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for SCOTT ALAN PHILLIPS (PA-C)

  • 5777 NEW COPELAND RD

    SUITE 100

    TYLER, TX 757033905

    Phone: (903) 561-9255

    Fax: (903) 561-0034

    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 62 Open Payments records for all available years, with a total value of $1,376.

Total Amount is formed as General ($1,376) + Research ($0) + Ownership ($0) = $1,376.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($323).

Total Amount

$1,376

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2012-09-26

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
I20120926000302IPhysician AssistantTXTBD

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
86235Measurement of antibody for assessment of autoimmune disorder, any method4,344443$0
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)3,55019$0
Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg3,08035$0
83516Analysis of substance using immunoassay technique, multiple step method1,084442$0
99213Established patient office or other outpatient visit, 20-29 minutes973627$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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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: 5496751497View full group profile
NameSpecialtyState
Physician AssistantTX
Rheumatology, Internal MedicineTX
Physician AssistantTX
R H E U M A T O L O G YTX

Reviews

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Frequently asked questions

Where can patients find SCOTT ALAN PHILLIPS (PA-C)'s NPI?
You can confirm SCOTT ALAN PHILLIPS (PA-C) with NPI 1669722393; it appears in the national provider directory.
Does this profile mean SCOTT ALAN PHILLIPS (PA-C) is currently active?
Yes — SCOTT ALAN PHILLIPS (PA-C) appears active in the national provider directory.
What field does SCOTT ALAN PHILLIPS (PA-C) work in?
You can think of SCOTT ALAN PHILLIPS (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for SCOTT ALAN PHILLIPS (PA-C)?
The page summarizes Tyler, Texas for SCOTT ALAN PHILLIPS (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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