NICOLE MUGICA (D.O.) – Internal Medicine Physician, NPI 1104352939
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,474 INTERNAL MEDICINE in OR
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Provider Addresses for NICOLE MUGICA (D.O.)
Good Samaritan Regional Medical Center, 3600, Northwest Samaritan Drive, Corvallis, Benton County, Oregon, 97330, United States
CORVALLIS, OR 973303737
Phone: (541) 768-4907
Type: Location
890 OAK ST SE
SALEM, OR 973013905
Phone: (503) 814-7246
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: 2021-10-18
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 |
|---|---|---|---|---|
| I20211018000840 | I | Hospice/Palliative Care | 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 |
|---|---|---|---|---|
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 65 | 24 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 35 | 20 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 33 | 33 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 97330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| U R O L O G Y | OR | |
| Physician Assistant | OR | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | MT | |
| Family Practice | OR | |
| Plastic And Reconstructive Surgery | OR | |
| Nurse Practitioner | OR | |
| A N E S T H E S I O L O G Y | WA | |
| - | OR |
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