DR. PHILLIP CARRON (M.D.) – Family Medicine Physician, NPI 1033591375

DR. PHILLIP CARRON (M.D.) is a healthcare provider. based in Moses lake, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD70039642 (WA). The NPI Number for DR. PHILLIP CARRON (M.D.) is 1033591375

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILLIP CARRON (M.D.)
NPI
1033591375
Phone
(509) 793-9715
Address
660 S COOLIDGE ST
Enumeration Date
23 June 2015
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097939780
Graduation Year
2015 (11 years ago)
PAC ID
7719293174
Group Practice PAC ID
9931095692
Professional Enrollment ID
I20251126003988
Address ID
WA988374613MO1550XWAYX400

Contacts

Secure Messaging
Pcarron4114755@wm.providencedirect.org
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness95
Years active:10State licenses:2Other names

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. PHILLIP CARRON (M.D.)

  • 660 S COOLIDGE ST

    MOSES LAKE, WA 988371872

    Phone: (509) 793-9715

    Fax: (509) 764-3244

    Type: Mailing

  • 1550 S PIONEER WAY

    MOSES LAKE, WA 988374613

    Phone: (509) 793-9780

    Fax: (509) 764-3245

    Type: Location

  • 820 E 17TH ST

    CHEYENNE, WY 820014714

    Phone: (307) 632-2434

    Type: Mailing

  • 3556 BROADWAY

    NEW YORK, NY 10031

    Phone: (212) 271-4364

    Fax: (212) 271-4863

    Type: Location

  • 1616 S PIONEER WAY

    MOSES LAKE, WA 988372487

    Phone: (509) 793-9715

    Fax: (509) 764-3244

    Type: Mailing

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 $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2023-05-31 • Largest payer in this snapshot: Boston Scientific Corporation ($105).

Total Amount

$129

General + Research + Ownership

Payments

2

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-31

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: 2025-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20181016001351IFamily PracticeNYTBD
I20190211001549IFamily PracticeTNTBD
I20200619000162IFamily PracticeTXTBD
I20251126003988IFamily PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98837)

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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: 9931095692View full group profile
NameSpecialtyState
Family PracticeKY
Emergency MedicineWA
Physician AssistantWA
-PA
Emergency MedicineNJ
Internal MedicineIN
Physician AssistantOH
Mental Health CounselorWA
Emergency MedicineMA
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

What is DR. PHILLIP CARRON (M.D.)'s NPI number?
DR. PHILLIP CARRON (M.D.)'s NPI is 1033591375 — the number used across U.S. healthcare to identify this provider.
Is DR. PHILLIP CARRON (M.D.) shown as active in public data?
Registry records indicate DR. PHILLIP CARRON (M.D.) maintains an active NPI.
What kind of doctor is DR. PHILLIP CARRON (M.D.)?
DR. PHILLIP CARRON (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. PHILLIP CARRON (M.D.) located near Moses Lake?
DR. PHILLIP CARRON (M.D.) currently maps to Moses Lake, Washington in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.