JOHN M NIGHTINGALE (PA-C) – Physician Assistant, NPI 1215212840
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for JOHN M NIGHTINGALE (PA-C)
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 973673241
Phone: (541) 994-7480
Fax: (541) 557-6439
Type: Location
PO BOX 1194
CORVALLIS, OR 973391194
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $3,056.
Total Amount is formed as General ($3,056) + Research ($0) + Ownership ($0) = $3,056.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: STEELHEAD SURGICAL INC ($1,491).
Total Amount
$3,056
General + Research + Ownership
Payments
36
Total payment records
General Amount
$3,056
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| STEELHEAD SURGICAL INC | $1,491 |
| Arthrex, Inc. | $486 |
| Stryker Corporation | $207 |
| Medical Device Business Services, Inc. | $162 |
| Smith+Nephew, Inc. | $152 |
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: 2012-01-19
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 |
|---|---|---|---|---|
| I20120119000771 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 15 | 14 | $0 |
Insurance plans in this area (ZIP 97367)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Family Practice | OR | |
| P O D I A T R Y | OR | |
| Orthopedic Surgery | OR | |
| Nurse Practitioner | MN | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | OR |
Reviews
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