GARY DON BEVAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174579742
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID
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Provider Addresses for GARY DON BEVAN (CRNA)
4268, Southeast Hillside Drive, Glen Echo, Portland, Metro, Clackamas County, Oregon, 97267, United States
PORTLAND, OR 972084268
Phone: (503) 372-2740
Fax: (503) 372-2754
Type: Mailing
Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States
BOISE, ID 837061352
Phone: (208) 367-6416
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.
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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: 2024-07-11
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 |
|---|---|---|---|---|
| I20240711001244 | I | Certified Registered Nurse Anesthetist (Crna) | WA | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 77 | 74 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 61 | 60 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 16 | 16 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 15 | 15 | $0 |
| 64448 | Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter | 13 | 13 | $0 |
Insurance plans in this area (ZIP 97208)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | ID | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| General Surgery | ID | |
| Physician Assistant | ID | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Orthopedic Surgery | ID | |
| A N E S T H E S I O L O G Y | OR | |
| - | ID | |
| - | WA | |
| Interventional Pain Management, Anesthesiology | ID | |
| Diagnostic Radiology | NV |
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