JON DOUGLAS GAMBILL (PA-C) – Medical Physician Assistant, NPI 1073586319
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for JON DOUGLAS GAMBILL (PA-C)
Northwest Pine Street, Canyonville, Douglas County, Oregon, 97417, United States
CANYONVILLE, OR 974179648
Phone: (541) 839-4211
Fax: (541) 839-4983
Type: Location
PO BOX 888
115 S PINE STREET
CANYONVILLE, OR 974170888
Phone: (541) 839-4211
Fax: (541) 839-4983
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $973.
Total Amount is formed as General ($973) + Research ($0) + Ownership ($0) = $973.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($276).
Total Amount
$973
General + Research + Ownership
Payments
50
Total payment records
General Amount
$973
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 |
|---|---|
| Amgen Inc. | $276 |
| GlaxoSmithKline, LLC. | $159 |
| AstraZeneca Pharmaceuticals LP | $120 |
| Novo Nordisk Inc | $52 |
| Janssen Pharmaceuticals, Inc | $49 |
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: 2010-02-17
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 |
|---|---|---|---|---|
| I20100217000554 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 11 | $0 |
Insurance plans in this area (ZIP 97417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | OR | |
| Family Practice, General Practice, Internal Medicine | OR |
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