MICHAEL ANTHONY ST AMAND (PAC) – Surgical Physician Assistant, NPI 1023508751
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
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Provider Addresses for MICHAEL ANTHONY ST AMAND (PAC)
541 NE 20TH AVE STE 225
PORTLAND, OR 972322895
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
South Higuera Street, San Luis Obispo, San Luis Obispo County, California, 93401-8114, United States
SAN LUIS OBISPO, CA 934017736
Phone: (805) 541-7130
Type: Mailing
847 NE 19TH AVE STE 300
PORTLAND, OR 972322686
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
5050 NE HOYT ST STE 651
PORTLAND, OR 972132954
Phone: (503) 935-8700
Fax: (503) 935-8701
Type: Location
301 NE KNOTT ST
PORTLAND, OR 972123014
Phone: (503) 253-3910
Fax: (503) 253-4297
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($125).
Total Amount
$391
General + Research + Ownership
Payments
12
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $125 |
| ABBVIE INC. | $105 |
| Janssen Biotech, Inc. | $50 |
| Lilly USA, LLC | $48 |
| PFIZER INC. | $39 |
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: 2022-10-19
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 |
|---|---|---|---|---|
| I20221019003098 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | OR | |
| D E R M A T O L O G Y | OR | |
| Nurse Practitioner | OR |
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