DAKOTA SHAWN DONAHOE (PA-C) – Physician Assistant, NPI 1093193831

DAKOTA SHAWN DONAHOE (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 179569 (OR). The NPI Number for DAKOTA SHAWN DONAHOE (PA-C) is 1093193831

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DAKOTA SHAWN DONAHOE (PA-C)
NPI
1093193831
Phone
Not provided
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
13 May 2015
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5416407625
Graduation Year
2016 (10 years ago)
PAC ID
8123309655
Group Practice PAC ID
1355406729
Professional Enrollment ID
I20161221001121
Address ID
OR976034982KL3737XWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for DAKOTA SHAWN DONAHOE (PA-C)

  • 3181 SW SAM JACKSON PARK RD

    GH219

    PORTLAND, OR 972393011

    Phone:

    Type: Mailing

  • 2900 STATE ST

    MEDFORD, OR 975048458

    Phone: (541) 779-1672

    Fax: (541) 779-0986

    Type: Location

  • 3860 CRATER LAKE AVE # A

    MEDFORD, OR 975049741

    Phone: (541) 858-1003

    Fax: (541) 779-0986

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-01-12 • Largest payer in this snapshot: NuVasive, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
NuVasive, Inc.$21
View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161221001121IPhysician AssistantORTBD

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
99204New patient office or other outpatient visit, 45-59 minutes6262$0
99214Established patient office or other outpatient visit, 30-39 minutes6257$0
99215Established patient office or other outpatient visit, 40-54 minutes2118$0
99205New patient office or other outpatient visit, 60-74 minutes1717$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 1355406729View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAKOTA SHAWN DONAHOE (PA-C)?
DAKOTA SHAWN DONAHOE (PA-C) — NPI 1093193831 — is the standard way to identify this listing.
Does CMS list DAKOTA SHAWN DONAHOE (PA-C) as active?
Yes — DAKOTA SHAWN DONAHOE (PA-C) is active in the NPI listing used on this page.
What is DAKOTA SHAWN DONAHOE (PA-C)'s primary classification?
Physician Assistant is the headline specialty for DAKOTA SHAWN DONAHOE (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for DAKOTA SHAWN DONAHOE (PA-C)?
DAKOTA SHAWN DONAHOE (PA-C)'s geographic hint is Portland, Oregon in our summary view.
Why does DAKOTA SHAWN DONAHOE (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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