DAVID FERNANDO ANTEZANA (MD) – Neurological Surgery Physician, NPI 1225024052
Neurological Surgery Physician
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NPPES metrics only — not quality of care.
119 NEUROSURGERY in OR
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Provider Addresses for DAVID FERNANDO ANTEZANA (MD)
847, Northeast 19th Avenue, Kerns, Portland, Multnomah County, Oregon, 97232, United States
SUITE 300
PORTLAND, OR 972322684
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
Southwest Barnes Road, Sylvan-Highlands, Portland, Multnomah County, Oregon, 97221, United States
SUITE 440
PORTLAND, OR 972256625
Phone: (503) 297-3766
Fax: (503) 297-8148
Type: Location
9155 SW Barnes Rd Ste 440
Portland, OR 972256631
Phone: (503) 935-8500
Fax: (503) 935-8505
Type: Location
5050 NE HOYT ST STE 359
PORTLAND, OR 972132983
Phone: (503) 935-8501
Fax: (503) 935-8506
Type: Location
541 NE 20TH AVE STE 225
PORTLAND, OR 972322895
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $6,123.
Total Amount is formed as General ($6,123) + Research ($0) + Ownership ($0) = $6,123.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Alphatec Spine, Inc ($3,421).
Total Amount
$6,123
General + Research + Ownership
Payments
54
Total payment records
General Amount
$6,123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alphatec Spine, Inc | $3,421 |
| Globus Medical, Inc. | $1,458 |
| Abbott Laboratories | $916 |
| SI-BONE, INC. | $164 |
| Elekta, Inc. | $94 |
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: 2006-02-21
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 |
|---|---|---|---|---|
| I20060221000467 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 27 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 15 | 15 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 11 | 11 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 97232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| - | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| G A S T R O E N T E R O L O G Y | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Gastroenterology, Internal Medicine | OR | |
| G A S T R O E N T E R O L O G Y | OR | |
| U R O L O G Y | OR | |
| Physician Assistant | OR | |
| - | OR |
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