PHILLIP JEROME GRIEGO JR.
NPI 1649140864
Physician Assistant in Santa Fe, NM

Active since November 11, 2025PECOS EnrolledAccepts Medicare Assignment
460 SAINT MICHAELS DR STE 1104, SANTA FE, NM 87505(505) 820-2562 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 2, 2025, Nov 19, 2025, Nov 11, 2025 (3 updates tracked since 2025).

About Phillip Jerome Griego Jr. NPPES

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

PHILLIP JEROME GRIEGO JR. (NPI 1649140864) is an individual physician assistant in Santa Fe, New Mexico, licensed in New Mexico (PA2025-0119) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of San Juan Bautista School Of Medicine (2025).

NPPES Registry Identity

NPI1649140864
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePHILLIP JEROME GRIEGO JR.
Location Address460 SAINT MICHAELS DR STE 1104Santa Fe, NM 87505-7709
Mailing AddressPo Box 384Dixon, NM 87527-0384
Sole ProprietorNo
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2025
Enumeration DateNovember 11, 2025
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1649140864 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 NM · PA2025-0119
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.

460 SAINT MICHAELS DR STE 1104, Santa Fe, NM 87505

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

Phillip Jerome Griego Jr. 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 ID2567943954
PECOS Enrollment IDI20260224002786
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.

Hospital Affiliations CMS Care Compare

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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

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

Physician Assistant
460 SAINT MICHAELS DR STE 1104
SANTA FE, NM 87505

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 Phillip Griego's NPI number?

The NPI number for Phillip Griego is 1649140864. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Phillip Griego located?

Phillip Griego practices at 460 Saint Michaels Dr Ste 1104, Santa Fe, NM 87505. The listed phone number is (505) 820-2562.

What is Phillip Griego's specialty?

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

Is Phillip Griego enrolled in Medicare?

Yes. Phillip Griego 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.

Is Phillip Griego affiliated with any hospitals?

According to CMS data, Phillip Griego is affiliated with Christus St Vincent Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Griego was last updated on December 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.