DR. PHEBE LORE ALLEY (MD) – Family Medicine Physician, NPI 1295355279
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for DR. PHEBE LORE ALLEY (MD)
400 E 3RD ST
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Mailing
420 E 1ST ST
DULUTH, MN 558051901
Phone: (218) 786-8364
Type: Location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Phone: (208) 625-4000
Type: Location
601 Elmwood Ave
Rochester, NY 146420001
Phone: (585) 275-4786
Type: Location
48 ROSSITER RD
ROCHESTER, NY 146204126
Phone: (315) 409-8446
Type: Mailing
777 N RAYMOND ST
BOISE, ID 837049251
Phone: (208) 541-2500
Type: Location
777 N Raymond St
Boise, ID 837049251
Phone: (208) 541-2500
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: 2023-09-11
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 |
|---|---|---|---|---|
| I20230911002414 | I | Family Practice | ID | 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 55805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Internal Medicine | WA | |
| Family Practice | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Family Practice | ID | |
| Diagnostic Radiology | ID | |
| - | ID | |
| Family Practice | ID | |
| General Surgery | CO |
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