JEFFREY WILLIAM PHILLIPS DDS - NPI 1790886141

Q: What is Jeffrey Phillips's NPI number?

The NPI number for Jeffrey Phillips is 1790886141. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Jeffrey Phillips's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Jeffrey Phillips enrolled in Medicare?

No. Jeffrey Phillips has opted out of Medicare through October 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Phillips was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jeffrey William Phillips Dds NPPES

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

JEFFREY WILLIAM PHILLIPS DDS (NPI 1790886141) is an individual general practice provider in Silverdale, Washington, licensed in Washington (DE00004243) and active in the NPI registry since September 2006. He has opted out of Medicare through October 9, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790886141

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJEFFREY WILLIAM PHILLIPSCredential: DDS

Location Address3637 NW BYRON STSilverdale, WA 98383-9127

Mailing Address3637 Nw Byron StSilverdale, WA 98383-9127 · (360) 692-9560 · Fax (360) 692-1729

Phone(360) 692-9560

Fax(360) 692-1729

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790886141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE00004243

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3637 NW BYRON ST, Silverdale, WA 98383

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jeffrey William Phillips Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 9, 2020 through October 9, 2026.

Opt-Out Effective DateOctober 9, 2020

Opt-Out In Effect ThroughOctober 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98383 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 6

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

SIMREN KAUR BHOGAL

Dentist (General Practice)