TODD A PHILLIPS (MD) – Anesthesiology Physician, NPI 1073597563

TODD A PHILLIPS (MD) is a healthcare provider. based in Centralia, Washington. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. MD00037091 (WA). The NPI Number for TODD A PHILLIPS (MD) is 1073597563

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TODD A PHILLIPS (MD)
NPI
1073597563
Phone
(360) 736-2803
Address
914 S Scheuber Rd
Enumeration Date
30 November 2005
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3607362803
Graduation Year
1994 (32 years ago)
PAC ID
0143325779
Group Practice PAC ID
0840279758
Professional Enrollment ID
I20100511000168

Contacts

Secure Messaging
tphillips1180508@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for TODD A PHILLIPS (MD)

  • 914 S Scheuber Rd

    Centralia, WA 985319027

    Phone: (360) 736-2803

    Fax: (360) 330-8642

    Type: Location

  • 804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States

    AUGUSTA, GA 309072464

    Phone: (800) 394-4445

    Type: Mailing

  • PeaceHealth St. John Medical Center, 1615, Delaware Street, Longview, Cowlitz County, Washington, 98632, United States

    ANESTHESIA DEPT

    LONGVIEW, WA 986322310

    Phone: (360) 425-7280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-02-26 • Largest payer in this snapshot: Dutch Ophthalmic, USA ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dutch Ophthalmic, USA$13
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: 2021-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100511000168IAnesthesiologyWATBD
I20210504000848IAnesthesiologyORTBD

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
00145Anesthesia for retinal surgery4444$0
View full utilization report →

Insurance plans in this area (ZIP 98531)

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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: 0840279758View full group profile
NameSpecialtyState
-MT
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

Is TODD A PHILLIPS (MD) listed with a National Provider Identifier?
Yes — TODD A PHILLIPS (MD) has NPI 1073597563 on file in the registry.
Is TODD A PHILLIPS (MD) shown as active in public data?
Registry records indicate TODD A PHILLIPS (MD) maintains an active NPI.
How would a patient describe TODD A PHILLIPS (MD)'s focus?
For TODD A PHILLIPS (MD), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with TODD A PHILLIPS (MD)?
Directory geography for TODD A PHILLIPS (MD) centers on Centralia, Washington.
When was this NPI issued?
Enumeration for TODD A PHILLIPS (MD) is noted as November 30, 2005 where the registry provides it.

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