MR. PHILLIP DARBY (PA-C) – Physician Assistant, NPI 1023037868

MR. PHILLIP DARBY (PA-C) is a healthcare provider. based in Lacey, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10004396 (WA). The NPI Number for MR. PHILLIP DARBY (PA-C) is 1023037868

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. PHILLIP DARBY (PA-C)
NPI
1023037868
Phone
(360) 486-2900
Address
4800 College St SE
Enumeration Date
19 July 2006
Last Update Date
1 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604134200
Graduation Year
2002 (24 years ago)
PAC ID
3072574102
Group Practice PAC ID
6709782600
Professional Enrollment ID
I20041022000214
Address ID
WA985163138LA2555XNEXX400

Contacts

Secure Messaging
dphillip622100@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MR. PHILLIP DARBY (PA-C)

  • 4800 College St SE

    Lacey, WA 985034389

    Phone: (360) 486-2900

    Fax: (360) 486-2970

    Type: Location

  • South Tacoma Post Office, South 56th Street, South Tacoma, Tacoma, Pierce County, Washington, 98409, United States

    M/S: 737-2-PHYS

    TACOMA, WA 984150299

    Phone:

    Type: Mailing

  • 9332, Bridgeport Way Southwest, Lakewood Plaza Apartments, Custer, Lakewood, Pierce County, Washington, 98499, United States

    LAKEWOOD, WA 984991569

    Phone: (253) 459-6065

    Type: Location

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: 2004-10-22

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
I20041022000214IPhysician AssistantWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes233226$0
99212Established patient office or other outpatient visit, 10-19 minutes9291$0
81003Automated urinalysis test5050$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
99214Established patient office or other outpatient visit, 30-39 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 98503)

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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: 6709782600View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YWA
Gynecological Oncology, Obstetrics/GynecologyCA
-OR
Certified Nurse Midwife (Cnm)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
-WA
Mental Health CounselorWA
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA
-WA

Reviews

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Frequently asked questions

Can I use this page to confirm MR. PHILLIP DARBY (PA-C)'s NPI?
Yes. MR. PHILLIP DARBY (PA-C) is listed with NPI 1023037868 in the public NPI dataset.
Is MR. PHILLIP DARBY (PA-C) listed as active for patients and plans?
The listing shows MR. PHILLIP DARBY (PA-C) as active in the NPI system.
What is MR. PHILLIP DARBY (PA-C)'s specialty?
The listing groups MR. PHILLIP DARBY (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. PHILLIP DARBY (PA-C) based?
MR. PHILLIP DARBY (PA-C) is tied to Lacey, Washington in the data we show; additional addresses may exist on the full record.
Why does MR. PHILLIP DARBY (PA-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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