AMBERLY JOY SMITH (PA-C) – Physician Assistant, NPI 1215694799
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for AMBERLY JOY SMITH (PA-C)
2710 Willamette St
Eugene, OR 974053238
Phone: (541) 735-3161
Type: Location
598 E 13th Ave
Eugene, OR 974014783
Phone: (541) 636-3473
Type: Location
5781 Main St
Springfield, OR 974785426
Phone: (541) 654-0282
Type: Location
4040 W 11th Ave Ste B
Eugene, OR 974025601
Phone: (458) 215-2311
Type: Location
1800 Coburg Rd
Eugene, OR 974014995
Phone: (541) 345-8760
Type: Location
PO BOX 40954
EUGENE, OR 974040169
Phone: (970) 581-1740
Type: Mailing
1800 COBURG RD
EUGENE, OR 974014995
Phone: (541) 345-8760
Type: Location
1077 GATEWAY LOOP
SPRINGFIELD, OR 974771114
Phone: (541) 485-6478
Fax: (541) 868-9606
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($31).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $31 |
| Kyowa Kirin, Inc. | $18 |
| Abbott Laboratories | $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: 2021-12-06
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 |
|---|---|---|---|---|
| I20211206002701 | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 60 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 48 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 81003 | Automated urinalysis test | 23 | 21 | $0 |
Insurance plans in this area (ZIP 97405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | ID | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Nephrology, Internal Medicine | IL | |
| N E P H R O L O G Y | OR | |
| N E P H R O L O G Y | OR | |
| N E P H R O L O G Y | OR | |
| Physician Assistant | OR | |
| N E P H R O L O G Y | OR | |
| N E P H R O L O G Y | OR |
Reviews
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