KAITLIN MARIE FAHEY PHILLIPS – Medical Physician Assistant, NPI 1982258414
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for KAITLIN MARIE FAHEY PHILLIPS
201 Posey Ave
Clifton, TX 766341200
Phone: (254) 675-8621
Fax: (254) 675-2254
Type: Location
9166 N Congress St
New Market, VA 228449422
Phone: (540) 459-1340
Type: Location
759 S Main St
Woodstock, VA 226641154
Phone: (540) 459-1383
Type: Location
Lake Whitney Medical Clinic, 202, East Jefferson Avenue, Whitney, Hill County, Texas, 76692, United States
WHITNEY, TX 766922398
Phone: (254) 694-2221
Fax: (254) 694-9978
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $442.
Total Amount is formed as General ($442) + Research ($0) + Ownership ($0) = $442.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: PFIZER INC. ($93).
Total Amount
$442
General + Research + Ownership
Payments
25
Total payment records
General Amount
$442
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $93 |
| Lilly USA, LLC | $65 |
| AstraZeneca Pharmaceuticals LP | $48 |
| Amgen Inc. | $42 |
| Merck Sharp & Dohme LLC | $28 |
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: 2020-11-18
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 |
|---|---|---|---|---|
| I20201118000779 | I | Physician Assistant | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76634)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Internal Medicine | PA | |
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA |
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