DR. LARA JAE GAMELIN (M.D.) – Family Medicine Physician, NPI 1144390592
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for DR. LARA JAE GAMELIN (M.D.)
3680 NW Samaritan Dr
Corvallis, OR 973303737
Phone: (541) 754-1150
Type: Location
2400, Northwest Kings Boulevard, Corvallis, Benton County, Oregon, 97330, United States
CORVALLIS, OR 973303900
Phone: (541) 757-2400
Fax: (541) 752-0931
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-08-29 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $28 |
| Lilly USA, LLC | $18 |
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: 2007-02-17
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 |
|---|---|---|---|---|
| I20070217000112 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 87 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 40 | 32 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | 34 | $0 |
| G0008 | Administration of influenza virus vaccine | 15 | 15 | $0 |
Insurance plans in this area (ZIP 97330)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OR | 90670 | Pneumococcal vaccine for injection into muscle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OR | |
| Physician Assistant | OR | |
| A L L E R G Y/ I M M U N O L O G Y | OR | |
| Physician Assistant | OR | |
| O P H T H A L M O L O G Y | OR | |
| - | OR | |
| Family Practice | OR | |
| - | OR | |
| - | OR | |
| - | OR |
Reviews
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