MR. DERALD PHILLIPS JR. PA
NPI 1972083137
Physician Assistant - Medical in Amarillo, TX

Q: What is Derald Phillips's NPI number?

The NPI number for Derald Phillips is 1972083137. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Q: What is Derald Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Derald Phillips was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since August 17, 2018PECOS EnrolledAccepts Medicare Assignment

1901 MEDI PARK DR STE 2050, AMARILLO, TX 79106(806) 355-3352 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2019, Mar 2, 2019, Aug 17, 2018 (3 updates tracked since 2018).

On this page

About Mr. Derald Phillips Jr. Pa NPPES

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

MR. DERALD PHILLIPS JR. PA (NPI 1972083137) is an individual medical provider in Amarillo, Texas, licensed in Texas (PA12454) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and is a graduate of Southern Illinois University School Of Medicine (2018).

NPPES Registry Identity

NPI1972083137

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. DERALD PHILLIPS JR.Credential: PA

Location Address1901 MEDI PARK DR STE 2050Amarillo, TX 79106-2109

Mailing Address3605 Portland AveAmarillo, TX 79118-8197 · (217) 918-0207

Phone(806) 355-3352

Sole ProprietorYes

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2018

Enumeration DateAugust 17, 2018

Last NPPES UpdateMay 15, 20193 updates tracked since enumeration

✔ NPI 1972083137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA12454

1901 MEDI PARK DR STE 2050, Amarillo, TX 79106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Mr. Derald Phillips Jr. 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 ID6406198548

PECOS Enrollment IDI20190422001033

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 14

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.

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

154 services154 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

90 services88 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

78 services71 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

48 services44 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

36 services36 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

27 services26 patients

Double contrast x-ray of esophagus 74221

A double contrast x-ray of the esophagus is a diagnostic procedure that uses a special type of x-ray and a contrast material to capture detailed images of your esophagus. This helps in identifying any abnormalities or issues.

26 services26 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

24 services24 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

23 services22 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

22 services21 patients

Drainage of fluid from abdominal cavity using imaging guidance 49083

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

20 services16 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

15 services14 patients

Replacement of kidney drainage tube using imaging guidance with review by radiologist 50435

This procedure involves replacing an existing kidney drainage tube. Using imaging technology, a radiologist precisely guides the process to ensure accuracy. This helps drain excess fluid from kidneys, improving their function and your comfort.

15 services12 patients

Fine needle aspiration biopsy using ultrasound guidance, each additional growth 10006

A fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is used to collect cells from a growth. Ultrasound helps accurately locate the growth. If there's more than one growth, each one is biopsied separately.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bsa Hospital

Acute Care Hospitals · Amarillo, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450231

Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

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.

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