DOROTHY A PENALOZA (M.D.) – Anesthesiology Physician, NPI 1093859647

DOROTHY A PENALOZA (M.D.) is a healthcare provider. based in Springfield, Oregon. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD28095 (OR). The NPI Number for DOROTHY A PENALOZA (M.D.) is 1093859647

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DOROTHY A PENALOZA (M.D.)
NPI
1093859647
Phone
(541) 686-9551
Address
P.O. BOX 7247
Enumeration Date
16 February 2007
Last Update Date
16 October 2012

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5412222300
Graduation Year
2004 (22 years ago)
PAC ID
8729156591
Group Practice PAC ID
3274420138
Professional Enrollment ID
I20081007000049
Address ID
OR974778800SP3333XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

867 ANESTHESIOLOGY in OR

Provider Addresses for DOROTHY A PENALOZA (M.D.)

  • P.O. BOX 7247

    SPRINGFIELD, OR 974750011

    Phone: (541) 686-9551

    Fax: (541) 687-6716

    Type: Mailing

  • 3333 RIVERBEND DRIVE

    SPRINGFIELD, OR 974778800

    Phone: (541) 222-3154

    Fax: (541) 222-3359

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: ABIOMED ($70).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$70
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: 2008-10-07

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
I20081007000049IAnesthesiologyORTBD

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
36620Insertion of artery tube for blood sampling or infusion through skin2222$0
00670Anesthesia for extensive surgery on spine1615$0
76937Ultrasonic guidance for blood vessel access1212$0
View full utilization report →

Insurance plans in this area (ZIP 97475)

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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: 3274420138View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
-OR
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YOR
-OR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR

Reviews

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Frequently asked questions

What federal number belongs to DOROTHY A PENALOZA (M.D.)?
The federal identifier for DOROTHY A PENALOZA (M.D.) is NPI 1093859647.
Is DOROTHY A PENALOZA (M.D.) active in the national directory?
DOROTHY A PENALOZA (M.D.)'s public NPI profile is in an active state.
Does DOROTHY A PENALOZA (M.D.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DOROTHY A PENALOZA (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DOROTHY A PENALOZA (M.D.)?
We surface Springfield, Oregon for DOROTHY A PENALOZA (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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