DR. ANDREW W. ALLEN (DO) – Anesthesiology Physician, NPI 1063692028
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
867 ANESTHESIOLOGY in OR
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Provider Addresses for DR. ANDREW W. ALLEN (DO)
1050, Southwest 3rd Avenue, Ontario, Malheur County, Oregon, 97914, United States
STE 2600
ONTARIO, OR 979142193
Phone: (541) 881-1601
Type: Mailing
PO BOX 3570
SALT LAKE CITY, UT 841103570
Phone: (801) 727-2056
Fax: (770) 701-6675
Type: Mailing
4401 HARRISON BLVD
OGDEN, UT 844033195
Phone: (801) 727-2056
Fax: (770) 701-6675
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2023-04-17 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $26 |
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: 2020-12-21
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 |
|---|---|---|---|---|
| I20201221002455 | I | Anesthesiology | UT | 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 |
|---|---|---|---|---|
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 17 | 17 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| - | UT | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT |
Reviews
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