ANN M REITAN (PA-C) – Physician Assistant, NPI 1073624094
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 ANN M REITAN (PA-C)
2041, Northeast Williamson Court, Bend, Deschutes County, Oregon, 97701, United States
STE B
BEND, OR 977013925
Phone: (541) 323-7456
Fax: (541) 323-4997
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $923.
Total Amount is formed as General ($923) + Research ($0) + Ownership ($0) = $923.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($402).
Total Amount
$923
General + Research + Ownership
Payments
31
Total payment records
General Amount
$923
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $402 |
| Regeneron Healthcare Solutions, Inc. | $111 |
| ABBVIE INC. | $67 |
| Arcutis Biotherapeutics, Inc. | $56 |
| Incyte Corporation | $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: 2006-12-28
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 |
|---|---|---|---|---|
| I20061228000041 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,170 | 395 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,153 | 689 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 787 | 523 | $0 |
| Q4186 | Epifix, per square centimeter | 335 | 43 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 284 | 233 | $0 |
Insurance plans in this area (ZIP 97701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OR | 11101 | Biopsy of each additional growth of skin and/or tissue | 64 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| D E R M A T O L O G Y | OR | |
| Physician Assistant | AK |
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