GRACE DENG KEIM (PA-C) – Surgical Physician Assistant, NPI 1073996823
Surgical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for GRACE DENG KEIM (PA-C)
2018 TORONTO AVE
SAN LEANDRO, CA 945792244
Phone: (510) 282-7416
Type: Mailing
505 NE 87TH AVE
BUILDING A SUITE 250
VANCOUVER, WA 986641989
Phone: (360) 514-1020
Type: Location
1498 SE TECH CENTER PL STE 240
VANCOUVER, WA 986835508
Phone: (360) 597-1313
Fax: (360) 597-1413
Type: Mailing
210 SE 136TH AVE
VANCOUVER, WA 986846930
Phone: (360) 597-1313
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $911.
Total Amount is formed as General ($911) + Research ($0) + Ownership ($0) = $911.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($215).
Total Amount
$911
General + Research + Ownership
Payments
9
Total payment records
General Amount
$911
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $215 |
| ImmunoGen, Inc. | $181 |
| Lilly USA, LLC | $128 |
| Daiichi Sankyo Inc. | $125 |
| GlaxoSmithKline, LLC. | $119 |
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: 2019-03-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20151012001705 | I | Physician Assistant | WA | TBD |
| I20190325000747 | I | Physician Assistant | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 94579)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | OR | |
| Medical Oncology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Radiation Oncology | WA | |
| General Surgery | WA | |
| - | WA | |
| Physician Assistant | OR | |
| Radiation Oncology | GA | |
| Nurse Practitioner | WA |
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