MR. ERIC J MOEN (PA-C) – Physician Assistant, NPI 1285651752
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MR. ERIC J MOEN (PA-C)
2119 PACIFIC BLVD SW STE 102
ALBANY, OR 973211475
Phone: (541) 924-2873
Fax: (541) 844-3732
Type: Location
PO BOX 1517
PENDLETON, OR 978010410
Phone: (877) 708-1119
Fax: (541) 278-8349
Type: Mailing
Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States
CORVALLIS, OR 973391188
Phone:
Type: Mailing
Elm Street Southwest, Albany historic districts, Albany, Linn County, Oregon, 97321, United States
ALBANY, OR 973212062
Phone: (541) 812-5820
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 $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: ALK-Abello, Inc ($57).
Total Amount
$89
General + Research + Ownership
Payments
3
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ALK-Abello, Inc | $57 |
| Pacira Pharmaceuticals Incorporated | $33 |
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: 2004-07-21
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 |
|---|---|---|---|---|
| I20040721000015 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 104 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 37 | $0 |
| 73562 | X-ray of knee, 3 views | 30 | 28 | $0 |
| 73502 | X-ray of hip, 2-3 views | 24 | 23 | $0 |
Insurance plans in this area (ZIP 97321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| A L L E R G Y/ I M M U N O L O G Y | OR | |
| - | OR | |
| Family Practice | OR | |
| - | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Nurse Practitioner | OR |
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