DR. PATRIK G CENTERWALL – Family Medicine Physician, NPI 1275153355

DR. PATRIK G CENTERWALL is a healthcare provider. based in Corvallis, Oregon. specializing in FAMILY PRACTICE. They hold a License No. PG199454 (OR). The NPI Number for DR. PATRIK G CENTERWALL is 1275153355

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRIK G CENTERWALL
NPI
1275153355
Phone
(541) 768-4906
Address
3600 NW SAMARITAN DR
Enumeration Date
20 April 2020
Last Update Date
15 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4237447585
Graduation Year
2016 (10 years ago)
PAC ID
4284057647
Group Practice PAC ID
2163490319
Professional Enrollment ID
I20230921003968
Address ID
TN373033499AT711XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

Provider Addresses for DR. PATRIK G CENTERWALL

  • 3600 NW SAMARITAN DR

    CORVALLIS, OR 973303737

    Phone: (541) 768-4906

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $384.

Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Lilly USA, LLC ($58).

Total Amount

$384

General + Research + Ownership

Payments

21

Total payment records

General Amount

$384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230921003968IFamily PracticeTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97330)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163490319View full group profile
NameSpecialtyState
Orthopedic SurgeryMI
Cardiovascular Disease (Cardiology), Internal MedicineTN
Family PracticeTN
Internal MedicineKY
Cardiovascular Disease (Cardiology)TN
Interventional Cardiology, Internal MedicineTN
General SurgeryPA
Family PracticeTN
Undefined Physician Type (Specify), Nurse PractitionerTN
Nurse PractitionerTN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Does DR. PATRIK G CENTERWALL have a public NPI I can cite?
Public records show DR. PATRIK G CENTERWALL under NPI 1275153355.
Should I treat DR. PATRIK G CENTERWALL as an active provider?
Patients and plans typically see DR. PATRIK G CENTERWALL as active in the national extract.
What type of care does DR. PATRIK G CENTERWALL provide?
DR. PATRIK G CENTERWALL's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. PATRIK G CENTERWALL tied to Corvallis, Oregon?
If you are local to Corvallis, Oregon, DR. PATRIK G CENTERWALL may be relevant to your search.
Why is information missing for DR. PATRIK G CENTERWALL?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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