MR. PHILLIP A DEAN (M.D.,) – Colon & Rectal Surgery Physician, NPI 1972584936

MR. PHILLIP A DEAN (M.D.,) is a healthcare provider. based in Renton, Washington. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials M.D.,. They hold a License No. MD60513550 (WA). The NPI Number for MR. PHILLIP A DEAN (M.D.,) is 1972584936

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MR. PHILLIP A DEAN (M.D.,)
NPI
1972584936
Phone
(425) 690-2715
Address
3600 LIND AVE SW
Enumeration Date
8 November 2005
Last Update Date
16 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4252286076
Graduation Year
1986 (40 years ago)
PAC ID
4284738550
Group Practice PAC ID
4183753965
Professional Enrollment ID
I20150131000137
Address ID
WA980555791RE4011XSXXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

54 COLORECTAL SURGERY (PROCTOLOGY) in WA

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Provider Addresses for MR. PHILLIP A DEAN (M.D.,)

  • Home Depot Kitchen & Bathroom Refacing, 3600, Lind Avenue Southwest, Renton, King County, Washington, 98055, United States

    SUITE 100 ATTN CREDENTIALING

    RENTON, WA 980574970

    Phone: (425) 690-2715

    Type: Mailing

  • Talbot Road South, Renton, King County, Washington, 98057, United States

    RENTON, WA 980555791

    Phone: (425) 690-3401

    Fax: (425) 690-9401

    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: 2015-01-31

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
I20150131000137IColorectal Surgery (Proctology)WATBD

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 minutes8652$0
99203New patient office or other outpatient visit, 30-44 minutes4141$0
99214Established patient office or other outpatient visit, 30-39 minutes2622$0
45380Biopsy of large bowel using a flexible endoscope2121$0
99202New patient office or other outpatient visit, 15-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 98057)

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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: 4183753965View full group profile
NameSpecialtyState
Family PracticeWA
Physical Therapist In Private PracticeWA
Internal Medicine, HospitalistWA
P S Y C H I A T R YWA
Hospice/Palliative Care, Internal MedicineWA
Internal Medicine, HospitalistCA
Family PracticeWA
Family Practice, Emergency MedicineWA
-WA
-WA

Reviews

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Frequently asked questions

How do payers reference MR. PHILLIP A DEAN (M.D.,)?
For MR. PHILLIP A DEAN (M.D.,), use NPI 1972584936 as the unique 10-digit identifier.
Is MR. PHILLIP A DEAN (M.D.,) shown as active in public data?
Registry records indicate MR. PHILLIP A DEAN (M.D.,) maintains an active NPI.
What kind of doctor is MR. PHILLIP A DEAN (M.D.,)?
MR. PHILLIP A DEAN (M.D.,) is associated with Colon & Rectal Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. PHILLIP A DEAN (M.D.,)?
Travel planning: use Renton, Washington as the reference point for MR. PHILLIP A DEAN (M.D.,), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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