MISS CARLY FERGUSON PHILLIPS PA-C
NPI 1073753638
Physician Assistant in Oklahoma City, OK

Active since February 23, 2009PECOS Enrolled
825 NE 10TH ST STE 1C, OKLAHOMA CITY, OK 73104(405) 271-2663(405) 271-3074 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2021, Jun 11, 2019 (2 updates tracked since 2019).

About Miss Carly Ferguson Phillips Pa-c NPPES

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

MISS CARLY FERGUSON PHILLIPS PA-C (NPI 1073753638) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (4708) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Norman.

NPPES Registry Identity

NPI1073753638
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS CARLY FERGUSON PHILLIPSCredential: PA-C
Location Address825 NE 10TH ST STE 1COklahoma City, OK 73104-5417
Mailing Address825 Ne 10th St Ste 1cOklahoma City, OK 73104-5417 · (405) 271-4426 · Fax (405) 271-6762
Fax(405) 271-3074
Sole ProprietorNo
Enumeration DateFebruary 23, 2009
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
NPI 1073753638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OK · 4708 Licensed in NC · 0010-01744 Licensed in OH · 50.004349RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
825 NE 10TH ST STE 1C, Oklahoma City, OK 73104

Other Names 1

Former Name (1)Carly Ferguson Pa-c

Secondary Practice Location 1

Location 13400 W Tecumseh Rd Ste 101Norman, OK 73072-1810 · Phone (405) 360-6764 · Fax (405) 360-6469

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Carly Ferguson Phillips Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 10

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

Physician Assistant
825 NE 10TH ST STE 1C
OKLAHOMA CITY, OK 73104
Orthopaedic Surgery
825 NE 10TH ST STE 1C
OKLAHOMA CITY, OK 73104
Physician Assistant
825 NE 10TH ST STE 1C
OKLAHOMA CITY, OK 73104
Physician Assistant (Surgical)
825 NE 10TH ST STE 1C
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Acute Care)
825 NE 10TH ST STE 1C
OKLAHOMA CITY, OK 73104
Orthopaedic Surgery
825 NE 10TH ST STE 1C
OKLAHOMA CITY, OK 73104
Physician Assistant
825 NE 10TH ST STE 1C
OKLAHOMA CITY, OK 73104
Specialist/Technologist, Other (Orthopedic Assistant)
825 NE 10TH ST STE 1C
OKLAHOMA CITY, OK 73104

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 Carly Phillips's NPI number?

The NPI number for Carly Phillips is 1073753638. It was assigned to this individual provider in the NPPES registry on February 23, 2009. The provider is also known as Carly Ferguson Pa-C.

Where is Carly Phillips located?

Carly Phillips practices at 825 NE 10th St Ste 1C, Oklahoma City, OK 73104. The listed phone number is (405) 271-2663.

What is Carly Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carly Phillips enrolled in Medicare?

Yes. Carly Phillips is registered in the Medicare PECOS enrollment system.

What insurance does Carly Phillips accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Carly Phillips 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 Carly Phillips was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.