DR. NATHANIEL LEROY EASTMAN (MD) – Surgery Physician, NPI 1023125887
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
92 GENERAL SURGERY in AK
Provider Addresses for DR. NATHANIEL LEROY EASTMAN (MD)
2401 E 42nd Ave Ste 205
Anchorage, AK 995085228
Phone: (907) 929-4825
Type: Location
5805 E Columbus Way
Wasilla, AK 996547831
Phone: (907) 929-4825
Type: Location
3100 Tongass Ave
Ketchikan, AK 999015746
Phone: (907) 225-7346
Fax: (907) 228-8325
Type: Location
2841 DeBarr Rd
Suite 11
Anchorage, AK 995082932
Phone: (907) 929-4263
Fax: (907) 929-4267
Type: Location
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 986838004
Phone: (360) 729-1412
Fax: (360) 729-3025
Type: Mailing
3100 TONGASS AVE
KETCHIKAN, AK 999015746
Phone: (907) 225-7346
Fax: (907) 228-8325
Type: Location
2320 N 3RD ST
PHOENIX, AZ 850041303
Phone: (602) 258-9900
Fax: (602) 258-9904
Type: Mailing
9321 W THOMAS RD STE 325
PHOENIX, AZ 850373396
Phone: (623) 936-5406
Fax: (623) 936-5479
Type: Location
Sand Box, Anchorage, Alaska, United States
ANCHORAGE, AK 995241889
Phone: (907) 563-1777
Fax: (907) 561-7464
Type: Mailing
2841, Debarr Road, Anchorage, Alaska, 99508, United States
SUITE 11
ANCHORAGE, AK 995082932
Phone: (907) 929-4263
Fax: (907) 929-4267
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070201000608 | I | General Surgery | TX | TBD |
| I20220706001692 | I | General Surgery | AR | TBD |
| I20221230000957 | I | General Surgery | AZ | TBD |
| I20230104000187 | I | General Surgery | WY | TBD |
| I20230428000893 | I | General Surgery | TN | TBD |
| I20240116000515 | I | General Surgery | CO | TBD |
| I20250113001950 | I | General Surgery | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| General Surgery | KS | |
| Nurse Practitioner | KS | |
| General Surgery | KS | |
| - | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| General Surgery | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS |
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