DR. MICHAEL WHITCOMB (DMD, MD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1164937769
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
18 ORAL SURGERY in OR
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Provider Addresses for DR. MICHAEL WHITCOMB (DMD, MD)
1161 NW OVERTON ST APT 214
PORTLAND, OR 972092693
Phone:
Type: Mailing
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
PORTLAND, OR 972393011
Phone: (503) 494-8916
Type: Location
1612 LANCASTER DR
GRAPEVINE, TX 760513544
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,124.
Total Amount is formed as General ($1,124) + Research ($0) + Ownership ($0) = $1,124.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Straumann USA LLC ($593).
Total Amount
$1,124
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $593 |
| KLS-Martin L.P. | $358 |
| Stryker Corporation | $157 |
| Pacira Pharmaceuticals Incorporated | $16 |
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: 2024-01-26
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 |
|---|---|---|---|---|
| I20240126001784 | I | Oral Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | CA | |
| - | TX | |
| Oral Surgery, Maxillofacial Surgery | TX | |
| Dentist, Oral Surgery | TX | |
| Oral Surgery | TX | |
| Oral Surgery | TX | |
| Oral Surgery | GA |
Reviews
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