JESSE W STAGGS (PA-C) – Physician Assistant, NPI 1235324708
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for JESSE W STAGGS (PA-C)
1906 BLAKE AVE
GLENWOOD SPGS, CO 816014227
Phone: (970) 384-6770
Fax: (970) 384-6610
Type: Mailing
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
3615 NW SAMARITAN DR STE 210
CORVALLIS, OR 973303771
Phone: (541) 768-4501
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: 2007-09-18
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 |
|---|---|---|---|---|
| I20070918000662 | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 26 | $0 |
Insurance plans in this area (ZIP 81601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Family Practice | OR | |
| - | OR | |
| P O D I A T R Y | OR | |
| - | OR | |
| - | OR |
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