MELISSA B PURTTEMAN (M.D.) – Family Medicine Physician, NPI 1043523053

MELISSA B PURTTEMAN (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD60327016 (WA). The NPI Number for MELISSA B PURTTEMAN (M.D.) is 1043523053

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA B PURTTEMAN (M.D.)
NPI
1043523053
Phone
Not provided
Address
PO BOX 3360
Enumeration Date
19 July 2010
Last Update Date
18 July 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
9234372814
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20130829000503
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for MELISSA B PURTTEMAN (M.D.)

  • PO BOX 3360

    PORTLAND, OR 972083360

    Phone:

    Type: Mailing

  • 1620 COOPER POINT RD SW

    PMG SW WA W OLYMPIA FAM MED

    OLYMPIA, WA 985025736

    Phone: (360) 486-6710

    Fax: (360) 923-4663

    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: 2013-08-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130829000503IFamily PracticeWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes321213$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7777$0
99213Established patient office or other outpatient visit, 20-29 minutes6554$0
G0008Administration of influenza virus vaccine2525$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1919$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032020490View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MELISSA B PURTTEMAN (M.D.)?
NPI 1043523053 is assigned to MELISSA B PURTTEMAN (M.D.) under the national enumeration system.
Does this profile mean MELISSA B PURTTEMAN (M.D.) is currently active?
Yes — MELISSA B PURTTEMAN (M.D.) appears active in the national provider directory.
What kind of provider is MELISSA B PURTTEMAN (M.D.)?
The page reflects Family Medicine Physician for MELISSA B PURTTEMAN (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MELISSA B PURTTEMAN (M.D.)?
The page summarizes Portland, Oregon for MELISSA B PURTTEMAN (M.D.); expand the address list for detail.
Is MELISSA B PURTTEMAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1043523053. Always confirm identity and privileges with the practice and licensing boards.

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