BRETT J WHITE (PA-C) – Medical Physician Assistant, NPI 1124538905

BRETT J WHITE (PA-C) is a healthcare provider. based in Cottage grove, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA206563 (OR). The NPI Number for BRETT J WHITE (PA-C) is 1124538905

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BRETT J WHITE (PA-C)
NPI
1124538905
Phone
(541) 767-5200
Address
1515 Village Dr Ste 120
Enumeration Date
5 October 2017
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6132724978
Graduation Year
2017 (9 years ago)
PAC ID
6709144298
Group Practice PAC ID
9032023270
Professional Enrollment ID
I20211103001457
Address ID
OR974029757EU4010XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for BRETT J WHITE (PA-C)

  • 1515 Village Dr Ste 120

    Cottage Grove, OR 974249700

    Phone: (541) 767-5200

    Type: Location

  • 1200 Hilyard St Ste 110

    Eugene, OR 974018112

    Phone: (458) 205-6011

    Type: Location

  • 1200 HILYARD ST STE 110

    EUGENE, OR 974018112

    Phone: (458) 205-6011

    Type: Mailing

  • PO BOX 4765

    POCATELLO, ID 832054765

    Phone: (970) 623-4000

    Type: Mailing

  • 716, East Manitoba Avenue, Ellensburg, Kittitas County, Washington, 98926, United States

    ELLENSBURG, WA 989263842

    Phone: (509) 933-8777

    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: 2021-11-03

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
I20211103001457IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes5149$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
81003Automated urinalysis test1817$0
71046X-ray of chest, 2 views1515$0
View full utilization report →

Insurance plans in this area (ZIP 97424)

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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: 9032023270View full group profile

Reviews

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Frequently asked questions

Where can patients find BRETT J WHITE (PA-C)'s NPI?
You can confirm BRETT J WHITE (PA-C) with NPI 1124538905; it appears in the national provider directory.
Is BRETT J WHITE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BRETT J WHITE (PA-C)?
The page reflects Medical Physician Assistant for BRETT J WHITE (PA-C). Clinical services aligned with this taxonomy classification.
Does BRETT J WHITE (PA-C) practice in Oregon?
You will see Cottage Grove, Oregon on file for BRETT J WHITE (PA-C) alongside any extra practice locations.
What if Cottage Grove, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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