JUSTIN HADALLER – Physician Assistant, NPI 1134521909
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for JUSTIN HADALLER
475 BRUCE ST
YREKA, CA 960973474
Phone: (530) 842-4121
Fax: (530) 841-0913
Type: Location
501 N GRAHAM ST
SUITE 580
PORTLAND, OR 972271654
Phone: (503) 528-0704
Fax: (503) 528-0708
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($19).
Total Amount
$67
General + Research + Ownership
Payments
4
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $19 |
| Indivior Inc. | $18 |
| Alkermes, Inc. | $16 |
| ITI, Inc. | $15 |
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: 2022-07-22
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 |
|---|---|---|---|---|
| I20160316000802 | I | Physician Assistant | OR | TBD |
| I20220722000638 | I | Physician Assistant | CA | 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 96097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine | CA | |
| Internal Medicine | CA | |
| Family Practice, Obstetrics/Gynecology | CA | |
| Registered Dietitian Or Nutrition Professional | CA | |
| Family Practice | NY | |
| - | CA | |
| E N D O C R I N O L O G Y | GA | |
| Internal Medicine | CA | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Nurse Practitioner | CA |
Reviews
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