Sean Phillips, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2818 Issued in KY

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 624-6068

Fax

(315) 624-6308

NPI assigned

May 26, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT, TN, MO, VA, OH, NM7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 7

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331
• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score

50.12 of 100Reported as group

Quality

2.83

Improvement activities

40

Cost

82.51

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

85.61

Promoting interoperability

100

Improvement activities

40

Cost

46.45

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Presbyterian Healthcare Services

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment Care Compare group
• Hospitalist Medicine Physicians of New York, PLLC

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1205944329

  Physician Assistant

  Medicare reassignment NPD
• MVHS Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment NPD
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070
  Medicare reassignment NPD
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097

  Physician Assistant

  Medicare reassignment NPD
• Ultimate Health Clinic PC

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1669567707
  Medicare reassignment NPD
• Doctors United, Inc

  • Special Hospital
  • White Plains, NY
  • NPI 1508979162
  Medicare reassignment
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment
• Exigence Medical of Binghamton PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Binghamton, NY
  • NPI 1659464758
  Medicare reassignment
• Keystone Medical Services of New York, PC

  • Emergency Medicine Physician
  • Springville, NY
  • NPI 1952331761
  Medicare reassignment
• Queens Emergency Medical Associates PLLC

  • Emergency Medicine Physician
  • Flushing, NY
  • NPI 1407269186
  Medicare reassignment
• University Emergency Medical Services Inc.

  • Emergency Medicine Physician
  • Buffalo, NY
  • NPI 1972540482
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677
  Care Compare affiliation
• Adena Health System

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Presbyterian Healthcare Services

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  Care Compare affiliation
• Presbyterian Healthcare Services

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1033438320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6068",
            "fax_number": "315-624-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6068",
            "fax_number": "315-624-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Hopkinsville St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451124",
            "country_code": "US",
            "telephone_number": "270-338-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC059",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "3622",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "016600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Steven Phelps, DO
• Kaitlyn M Phillips
• Kandi Marie Phillips
• Kristen Marie Phillips
• Laura Suzanne Phillips, RN BSN
• Viratri Phonrome, PSYD
• John James Picano, MD
• Sharon R Piccione, RN
• Katherine Picciotti
• Kelsey M Picente, LCSW

• Physician Assistant in Utica, NY
• Providers in Utica, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.