PHILLIP O TIGERT (PAC) – Physician Assistant, NPI 1689670267

PHILLIP O TIGERT (PAC) is a healthcare provider. based in Douglas, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 0364 (SD). The NPI Number for PHILLIP O TIGERT (PAC) is 1689670267

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP O TIGERT (PAC)
NPI
1689670267
Phone
(307) 358-7300
Address
111 S 5TH ST
Enumeration Date
28 June 2005
Last Update Date
19 December 2016

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
9830163427
Group Practice PAC ID
2264340843
Professional Enrollment ID
I20140728002294
Address ID
WY826332434Do111XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

323 PHYSICIAN ASSISTANT in WY

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Provider Addresses for PHILLIP O TIGERT (PAC)

  • 111, 5th Street, Castle Rock, Douglas County, Colorado, 80104, United States

    DOUGLAS, WY 826332434

    Phone: (307) 358-7300

    Mailing address matches the actual address.

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: 2014-07-28

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
I20140728002294IPhysician AssistantWYTBD

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 minutes1913$0
View full utilization report →

Insurance plans in this area (ZIP 82633)

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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: 2264340843View full group profile
NameSpecialtyState
Diagnostic Radiology, Nuclear MedicineNJ
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY
Family PracticeMO
Emergency MedicineOR
A N E S T H E S I O L O G YWY
-CA
Hand Surgery, Orthopedic SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YNY
-WY

Reviews

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Frequently asked questions

What is the 10-digit NPI for PHILLIP O TIGERT (PAC)?
PHILLIP O TIGERT (PAC) — NPI 1689670267 — is the standard way to identify this listing.
Can I rely on PHILLIP O TIGERT (PAC) being an active provider?
As of the registry snapshot, PHILLIP O TIGERT (PAC) is marked active.
What is PHILLIP O TIGERT (PAC)'s primary classification?
Physician Assistant is the headline specialty for PHILLIP O TIGERT (PAC) here. Clinical services aligned with this taxonomy classification.
Where is PHILLIP O TIGERT (PAC) based?
PHILLIP O TIGERT (PAC) is tied to Douglas, Wyoming in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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