PIPER H SULLIVAN (PA-C) – Physician Assistant, NPI 1063822104
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for PIPER H SULLIVAN (PA-C)
38505 Brooten Rd Ste A
Pacific City, OR 971358049
Phone: (503) 965-6555
Fax: (503) 965-6800
Type: Location
8060 SW Pfaffle St Ste 102
Tigard, OR 972238489
Phone: (503) 714-8987
Fax: (720) 598-0440
Type: Location
1000 3RD ST
TILLAMOOK, OR 971413430
Phone: (503) 815-2260
Fax: (503) 842-3062
Type: Mailing
38505 BROOTEN RD STE A
PACIFIC CITY, OR 971358049
Phone: (503) 965-6555
Fax: (503) 965-6800
Type: Location
205 SE Spokane St Ste 300
Portland, OR 972026487
Phone: (503) 714-8987
Fax: (720) 059-8044
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
16770 SW EDY RD STE 102
SHERWOOD, OR 971409679
Phone: (503) 216-9600
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: 2016-03-03
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 |
|---|---|---|---|---|
| I20160303001258 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 53 | $0 |
| 81003 | Automated urinalysis test | 23 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Family Practice | WA | |
| - | OR | |
| Physician Assistant | OR | |
| Physician Assistant | AR | |
| Internal Medicine, Pediatric Medicine | WA | |
| - | OR | |
| Clinical Social Worker | OR |
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