Active NPI 1871744425 Individual Practitioner Male Practitioner

Phillip E Stevenson , PA-C

Physician Assistant • Payette, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Phillip Stevenson, PA-C is a certified Physician Assistant practicing in Payette, ID. With approximately 18 years of clinical experience since graduating from Arizona College Of Osteopathic Medicine Mid Western University in 2008, Phillip Stevenson delivers high-quality medical care to the local community at 1441 NE 10TH AVE.

Phillip Stevenson is affiliated with Lp Derm Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1441 Ne 10th Ave

Payette, ID 836615420

Telephone 2086429376

Fax 2086429598

Associated Practice Facility / Clinic

🏢 Valley Family Health Care Inc Facility NPI 1407886484

Medicare Profile & Education

Medical School

Arizona College Of Osteopathic Medicine Mid Western University

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Payette, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +8.0 yrs vs City Avg

City Avg: 10.0 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Payette, ID (1261 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stevenson (18 Years) 18 Yrs

Payette Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$240.98	$70.19
72100 X-ray of lower and sacral spine, 2-3 views	28	23	$114.00	$30.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$308.39	$86.84
72110 X-ray of lower and sacral spine, minimum of 4 views	20	20	$145.00	$39.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$302.50	$101.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$433.06	$130.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	89	$208.99	$76.56
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$142.99	$51.37
22614 Fusion of additional segment of spine	37	13	$1370.91	$46.12
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	15	$708.71	$24.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$290.36	$104.89
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$3627.70	$70.97
22612 Fusion of spine in lower back	13	13	$5204.38	$190.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	63	$120.70	$52.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	72	$180.33	$78.28
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	13	$874.00	$24.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	18	13	$1037.00	$29.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.43	$65.67
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2985.00	$91.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	109	$152.06	$78.40
99213 Established patient office or other outpatient visit, typically 15 minutes	64	59	$99.66	$53.57
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	13	$1037.00	$30.11
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	14	$874.00	$24.62
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$4535.00	$80.45
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$2972.00	$86.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$256.55	$108.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	113	$148.92	$64.19
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$96.00	$41.65
22614 Fusion of additional segment of spine	34	13	$1619.00	$48.97
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	13	$1037.00	$32.26
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	12	$874.00	$26.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$208.00	$90.61
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$2985.00	$95.31
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$4535.00	$80.44
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$7058.00	$201.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	151	$147.39	$63.41
99213 Established patient office or other outpatient visit, typically 15 minutes	123	94	$95.84	$40.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$162.00	$61.10
63048 Partial removal of spine bone with release of spinal cord and/or nerves	28	18	$569.93	$26.53
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	25	18	$1240.20	$32.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	23	$2929.50	$88.84
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$3146.43	$95.56
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$7127.17	$212.74
22612 Fusion of spine in lower back	11	11	$6519.09	$199.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	109	$146.40	$63.36
99213 Established patient office or other outpatient visit, typically 15 minutes	107	87	$95.73	$41.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$164.66	$60.63
22614 Fusion of additional segment of spine	37	12	$1640.00	$49.13
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	24	$487.00	$26.52
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	18	$1291.00	$31.78
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$2507.00	$80.62
22612 Fusion of spine in lower back	17	16	$6638.00	$193.58
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$3194.00	$95.60
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$7141.00	$182.42
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$3201.00	$95.93
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$3070.00	$91.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	109	$95.00	$41.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	91	$146.47	$63.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	41	$206.00	$89.44
63048 Partial removal of spine bone with release of spinal cord and/or nerves	39	23	$487.00	$26.46
22614 Fusion of additional segment of spine	31	13	$1640.00	$49.05
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$2507.00	$81.05
22612 Fusion of spine in lower back	19	19	$6638.00	$198.84
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	11	$1291.00	$32.52
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$3070.00	$91.28
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$7141.00	$203.59
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$3194.00	$95.34

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PENDING

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

808211700 (ID)

Medicaid State Provider ID

808211701 (ID)

Medicaid State Provider ID

808211702 (ID)

Commercial Insurance / Payer ID License Pending

012345 (ID)

Hospital & Practice Group Affiliations

Lp Derm Llc

1325 N 600, Logan, UT 843416743

Phone: 4355548442

Lp Derm Llc

970 Medical Dr, Brigham City, UT 843023284

Phone: 4355548442

Lp Derm Llc

64 N 1st, Preston, ID 832631326

Phone: 4355548442

Lp Derm Llc

517 W 100, Providence, UT 843329824

Phone: 4355548442

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners

Nicole Young , RDH

Dental Hygienist

NPI 1013340702

Registered Dental Hygienist

Marcia Strahn , CNM

Nurse Practitioner - Women's Health

NPI 1215938030

Certified Nurse Midwife

Abigail Bradford , RDH

Dental Hygienist

NPI 1225406234

Registered Dental Hygienist

Dr. Kenneth Carrell , MD

Family Medicine

NPI 1295764900

Doctor of Medicine (M.D.)

Katee Rodriguez , PA-C

Physician Assistant

NPI 1306197140

Physician Assistant (Certified)

Andrew Silsby , FNP-C

Nurse Practitioner - Family

NPI 1447713649

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2008

Registered at 1441 NE 10TH AVE, PAYETTE, ID 836615420 (Tel: 2086429376)

📍

Updated Business Mailing Address December 01, 2008

Registered at 1441 NE 10TH AVE, PAYETTE, ID 836615420 (Tel: 2086429376)

👤

Provider Name / Credentials Updated December 01, 2008

Recorded as PHILLIP STEVENSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2008

Physician Assistant (License #PENDING in ID)

🟢

Initial NPI Registration & Enumeration October 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Phillip Stevenson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1871744425

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 01, 2008

Last Update: December 01, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1441 Ne 10th Ave

Payette, ID 836615420

Phone: 2086429376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.