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RACHEL PHILLIPS PA
NPI 1255890349
Physician Assistant in Knoxville, TN

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
9125 CROSS PARK DR STE 200, KNOXVILLE, TN 37923(865) 632-5900(865) 865-3058 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Oct 3, 2024, Apr 24, 2019 and 1 more (4 updates tracked since 2019).

About Rachel Phillips Pa NPPES

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

RACHEL PHILLIPS PA (NPI 1255890349) is an individual physician assistant in Knoxville, Tennessee, licensed in Tennessee (3827) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Oak Ridge, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1255890349
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRACHEL PHILLIPSCredential: PA
Location Address9125 CROSS PARK DR STE 200Knoxville, TN 37923-4563
Mailing Address9125 Cross Park Dr Ste 200Knoxville, TN 37923-4563 · (865) 632-5900 · Fax (865) 865-3058
Phone(865) 632-5900
Fax(865) 865-3058
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1255890349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 3827
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.
9125 CROSS PARK DR STE 200, Knoxville, TN 37923
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Other Names 1

Former Name (1)Rachel Rene Pioth

Secondary Practice Location 1

Location 11940 Alcoa Hwy Ste E260Knoxville, TN 37920 · Phone (865) 305-6955 · Fax (865) 305-8238

Other Identifiers 1

MedicaidQ049934TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Phillips Pa 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 ID2466788427
PECOS Enrollment IDI20190729002107
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.

Areas of Expertise CMS Part B claims

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$76.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

MR. JACOB RYAN GRIFFITH
Physician Assistant
9125 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Knox County (865) 632-5900
MR. RICHARD PRESTON ASHER II PA-C
Physician Assistant
9125 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Knox County (865) 632-5900
JOHN CARLSEN P.A.
Physician Assistant (Medical)
9125 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Knox County (865) 632-5900
DR. JOHN M HANCE MD, MPH
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9125 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Knox County (865) 632-5900
ANGELA SHEPHERD MCCOY PA-C, ATC
Physician Assistant
9125 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Knox County (865) 632-5900
DR. NORBERT E. BAUMGARTNER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9125 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Knox County (865) 632-5900
SAWYER GRAHAM NOEL PA
Physician Assistant
9125 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Knox County (865) 632-5900
LEE E SPEED PA
Physician Assistant
9125 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Knox County (865) 632-5900

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 Rachel Phillips's NPI number?

The NPI number for Rachel Phillips is 1255890349. It was assigned to this individual provider in the NPPES registry on March 18, 2019. The provider is also known as Rachel Rene Pioth.

Where is Rachel Phillips located?

Rachel Phillips practices at 9125 Cross Park Dr Ste 200, Knoxville, TN 37923. The listed phone number is (865) 632-5900.

What is Rachel Phillips's specialty?

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

Is Rachel Phillips enrolled in Medicare?

Yes. Rachel Phillips 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.

What insurance does Rachel Phillips accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Rachel 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.

Is Rachel Phillips affiliated with any hospitals?

According to CMS data, Rachel Phillips is affiliated with Methodist Medical Center Of Oak Ridge, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Phillips was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.