SUSANNE L PORTER (NP) – Nurse Practitioner, NPI 1215924592
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for SUSANNE L PORTER (NP)
280, South Main Street, Pacific Park, Santa Ana, Orange County, California, 92701, United States
STE 200
ORANGE, CA 928683852
Phone: (714) 634-4567
Fax: (714) 634-4569
Type: Location
PO BOX 905
ORANGE, CA 928566905
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $3,059.
Total Amount is formed as General ($3,059) + Research ($0) + Ownership ($0) = $3,059.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($2,850).
Total Amount
$3,059
General + Research + Ownership
Payments
15
Total payment records
General Amount
$3,059
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $2,850 |
| Pacira Pharmaceuticals Incorporated | $126 |
| Bioventus LLC | $45 |
| Ethicon US, LLC | $38 |
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: 2004-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040324001236 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 383 | 327 | $0 |
| 73562 | X-ray of knee, 3 views | 303 | 190 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 168 | 27 | $0 |
| 73502 | X-ray of hip, 2-3 views | 150 | 131 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 131 | $0 |
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | CA | |
| Interventional Pain Management, Anesthesiology | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Hand Surgery | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Hand Surgery, Orthopedic Surgery, Orthopedic Surgery | CA | |
| N E U R O S U R G E R Y | CA |
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