JASON ANDREW PATES (M.D.) – Military Health Care Provider, NPI 1376742346
Military Health Care Provider
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Profile Insights
NPPES metrics only — not quality of care.
201 OBSTETRICS/GYNECOLOGY in ID
Provider Addresses for JASON ANDREW PATES (M.D.)
980 W IRONWOOD DR STE 306
COEUR D ALENE, ID 83814
Phone: (208) 625-4970
Fax: (208) 625-4991
Type: Location
1717 S J St
Tacoma, WA 984054933
Phone: (253) 426-6341
Type: Location
205 Wabasha St S
Saint Paul, MN 551071805
Phone: (651) 293-8100
Fax: (651) 293-8232
Type: Location
9040 Jackson Ave
Tacoma, WA 984310001
Phone: (253) 968-3920
Fax: (253) 968-2385
Type: Location
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
TACOMA, WA 984310001
Phone: (253) 968-3920
Fax: (253) 968-2385
Type: Location
1717 S J ST
TACOMA, WA 984054933
Phone: (253) 426-6341
Type: Mailing
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
Phone: (208) 625-4970
Fax: (208) 625-4991
Type: Mailing
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: 2026-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20151028002069 | I | Obstetrics/Gynecology | ID | TBD |
| I20160721001147 | I | Obstetrics/Gynecology | MN | TBD |
| I20180426000593 | I | Obstetrics/Gynecology | CA | TBD |
| I20190816002534 | I | Obstetrics/Gynecology | FL | TBD |
| I20260126002127 | I | Obstetrics/Gynecology | MS | 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 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MN | |
| Physical Therapist In Private Practice | MN | |
| Qualified Speech Language Pathologist | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| - | MN | |
| Clinical Psychologist | NV | |
| - | UT |
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