DANIEL ALEXANDER ANANYEV (D.O.) – Family Medicine Physician, NPI 1255678439
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for DANIEL ALEXANDER ANANYEV (D.O.)
12345 SW Horizon Blvd Ste 57A
Beaverton, OR 970079475
Phone: (503) 216-8820
Type: Location
24988 SE Stark St Ste 220
Gresham, OR 97030
Phone: (503) 674-1580
Type: Location
16463 BOONES FERRY RD STE 300
LAKE OSWEGO, OR 970354376
Phone: (503) 658-9351
Fax: (541) 708-5934
Type: Location
PO BOX 4037
PORTLAND, OR 972084037
Phone:
Fax: (541) 708-5934
Type: Mailing
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
16180 SE SUNNYSIDE RD STE 102
HAPPY VALLEY, OR 970156302
Phone: (503) 582-4900
Fax: (503) 582-4999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Novo Nordisk Inc ($149).
Total Amount
$250
General + Research + Ownership
Payments
8
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $149 |
| Lilly USA, LLC | $57 |
| ABBVIE INC. | $26 |
| Azurity Pharmaceuticals, Inc. | $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: 2014-07-24
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 |
|---|---|---|---|---|
| I20140724000913 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 93 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 52 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
| G0008 | Administration of influenza virus vaccine | 16 | 16 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 14 | 14 | $0 |
Insurance plans in this area (ZIP 97007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Physician Assistant | IL | |
| Nurse Practitioner | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| Pulmonary Disease | OR |
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