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CLIFTON VINCENT PHILLIPS PA-C
NPI 1699281642
Physician Assistant - Surgical in Kirkland, WA

Active since December 28, 2017PECOS EnrolledAccepts Medicare Assignment
12039 NE 128TH ST STE 400, KIRKLAND, WA 98034(206) 454-9133(425) 392-3561 Get Directions Write a Review

NPPES record last updated: December 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2024, Dec 19, 2024, Aug 16, 2023 and 3 more (6 updates tracked since 2017).

About Clifton Vincent Phillips Pa-c NPPES

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

CLIFTON VINCENT PHILLIPS PA-C (NPI 1699281642) is an individual surgical provider in Kirkland, Washington, licensed in Washington (PA60895418) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699281642
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCLIFTON VINCENT PHILLIPSCredential: PA-C
Location Address12039 NE 128TH ST STE 400Kirkland, WA 98034-3029
Mailing Address12039 Ne 128th St Ste 400Kirkland, WA 98034-3029 · (206) 454-9133 · Fax (425) 392-3561
Phone(206) 454-9133
Fax(425) 392-3561
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 28, 2017
Last NPPES UpdateDecember 28, 20246 updates tracked since enumeration
NPPES CertifiedDecember 28, 2024
✔ NPI 1699281642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA60895418
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60895418 (WA)
12039 NE 128TH ST STE 400, Kirkland, WA 98034
Open in Google Maps ↗

Other Identifiers 1

Medicaid2113108WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Clifton Vincent Phillips Pa-c 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 ID8224375860
PECOS Enrollment IDI20190121001502
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 2

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.

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.
18 services18 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

JESSICA KAI PA-C
Physician Assistant (Surgical)
12039 NE 128TH ST STE 400
KIRKLAND, WA 98034
King County (425) 899-4810
PATRICK MAHER
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
12039 NE 128TH ST STE 400
KIRKLAND, WA 98034
King County (425) 899-4810
AMY BARROWS
Nurse Practitioner (Family)
12039 NE 128TH ST STE 400
KIRKLAND, WA 98034
King County (425) 899-4810
DR. SEAN C ADELMAN MD
Orthopaedic Surgery
12039 NE 128TH ST STE 400
KIRKLAND, WA 98034
King County (425) 899-4810
KATHERINE JUNE HALL PA-C
Physician Assistant
12039 NE 128TH ST STE 400
KIRKLAND, WA 98034
King County (425) 899-6060
DR. ADAM CLAY ROTHENBERG M.D.
Orthopaedic Surgery
12039 NE 128TH ST STE 400
KIRKLAND, WA 98034
King County (425) 899-4810
DR. STEPHANIE H HSU MD
Orthopaedic Surgery
12039 NE 128TH ST STE 400
KIRKLAND, WA 98034
King County (425) 899-4810
EMILY A ZIMMER PA-C
Physician Assistant (Surgical)
12039 NE 128TH ST STE 400
KIRKLAND, WA 98034
King County (425) 899-4810

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 Clifton Phillips's NPI number?

The NPI number for Clifton Phillips is 1699281642. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Clifton Phillips located?

Clifton Phillips practices at 12039 NE 128th St Ste 400, Kirkland, WA 98034. The listed phone number is (206) 454-9133.

What is Clifton Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Clifton Phillips enrolled in Medicare?

Yes. Clifton 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 Clifton Phillips accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Clifton 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 Clifton Phillips affiliated with any hospitals?

According to CMS data, Clifton Phillips is affiliated with Providence Regional Medical Center Everett and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Clifton Phillips was last updated on December 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.