Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARAH PHILBERN M.D.
NPI 1003161324
Obstetrics & Gynecology in Auburn, WA

Q: What is Sarah Philbern's NPI number?

The NPI number for Sarah Philbern is 1003161324. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Q: What is Sarah Philbern's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Philbern was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2012PECOS EnrolledAccepts Medicare Assignment

1 E MAIN ST, STE 100, AUBURN, WA 98002(253) 939-9654(253) 939-6549 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2026, Aug 13, 2025, May 4, 2021 and 3 more (6 updates tracked since 2016).

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About Sarah Philbern M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH PHILBERN M.D. (NPI 1003161324) is an individual obstetrics & gynecology provider in Auburn, Washington, licensed in New Mexico (MD2025-0862) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003161324

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSARAH PHILBERNCredential: M.D.

Location Address1 E MAIN ST, STE 100Auburn, WA 98002-4905

Mailing Address106 Blanca AveAlamosa, CO 81101-2340 · (719) 587-6333 · Fax (719) 587-5713

Phone(253) 939-9654

Fax(253) 939-6549

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 24, 2012

Last NPPES UpdateSeptember 3, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1003161324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NM · MD2025-0862✔ Licensed in WA · MD60641466✔ Licensed in CO · DR.0061397

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1 E MAIN ST, Auburn, WA 98002

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Philbern M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981992104

PECOS Enrollment IDI20181019001196

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sarah Philbern reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Questcare Obstetrics Colorado LLC

983 mi

Hospitalist

1950 MOUNTAIN VIEW AVE
Longmont, CO 80501

Reassigned Medicare billing, Colorado enrollment
61 clinicians in this Medicare group

NPI 1437821204 (303) 651-5111

Lutheran Hospital Association Of The San Luis Valley

1,044 mi

Surgery

310 COUNTY ROAD 14
Del Norte, CO 81132

Reassigned Medicare billing, Colorado enrollment
203 clinicians in this Medicare group

NPI 1851579262 (719) 657-2510

Southwest Medical Associates, LLC

1,164 mi

General Practice

6701 JEFFERSON ST NE
Albuquerque, NM 87109

Reassigned Medicare billing, New Mexico enrollment
554 clinicians in this Medicare group

NPI 1164491072 (505) 727-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

43 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC VASCULAR INCORPORATED

Physiological Laboratory

1 E MAIN ST, SUITE 120
AUBURN, WA 98002

King County (253) 887-8673

AMY K ATWOOD MD

Obstetrics & Gynecology

1 E MAIN ST, SUITE 100
AUBURN, WA 98002

King County (253) 939-9654

MS. LUCIE MCKEE ARNP

Nurse Practitioner (Women's Health)

1 E MAIN ST, SUITE 100
AUBURN, WA 98002

King County (253) 939-9654

NICOLE MARGARET CRUVER RN

Nurse Practitioner

1 E MAIN ST, STE 100
AUBURN, WA 98002

King County (425) 690-3480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Philbern's NPI number?

The NPI number for Sarah Philbern is 1003161324. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Sarah Philbern located?

Sarah Philbern practices at 1 E Main St Ste 100, Auburn, WA 98002. The listed phone number is (253) 939-9654.

What is Sarah Philbern's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sarah Philbern enrolled in Medicare?

Yes. Sarah Philbern is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sarah Philbern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Philbern reassigns Medicare benefits to 3 organizations: Questcare Obstetrics Colorado LLC (Longmont, CO), Lutheran Hospital Association Of The San Luis Valley (Del Norte, CO) and Southwest Medical Associates, LLC (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Philbern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Philbern accept?

Health plans from WellPoint list Sarah Philbern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sarah Philbern was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.