MR. DAVID RAUL REAVIS (PA-C) – Physician Assistant, NPI 1306005681

MR. DAVID RAUL REAVIS (PA-C) is a healthcare provider. based in Salem, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01357 (OR). The NPI Number for MR. DAVID RAUL REAVIS (PA-C) is 1306005681

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID RAUL REAVIS (PA-C)
NPI
1306005681
Phone
(503) 399-7520
Address
2480 LIBERTY ST NE
Enumeration Date
3 June 2008
Last Update Date
2 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033711010
Graduation Year
2007 (19 years ago)
PAC ID
5193895712
Group Practice PAC ID
7618273087
Professional Enrollment ID
I20080609000160
Address ID
OR973018388SA2480XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for MR. DAVID RAUL REAVIS (PA-C)

  • 2480 LIBERTY ST NE

    STE 180

    SALEM, OR 973018388

    Phone: (503) 399-7520

    Fax: (503) 362-7344

    Type: Mailing

  • 875, Oak Street Southeast, Salem, Marion County, Oregon, 97301, United States

    STE 3010

    SALEM, OR 97301

    Phone: (503) 399-7520

    Fax: (503) 362-7344

    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 $1,327.

Total Amount is formed as General ($1,327) + Research ($0) + Ownership ($0) = $1,327.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($422).

Total Amount

$1,327

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,327

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

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: 2008-06-09

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
I20080609000160IPhysician AssistantORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,142387$0
99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional323196$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms253142$0
80307Testing for presence of drug, by chemistry analyzers161109$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional7859$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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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: 7618273087View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementOR
Physical Medicine And RehabilitationOR
Physician AssistantOR
-OR
Physician AssistantOR
Pain ManagementOR

Reviews

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Frequently asked questions

Does MR. DAVID RAUL REAVIS (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. DAVID RAUL REAVIS (PA-C) uses 1306005681.
Does the file indicate MR. DAVID RAUL REAVIS (PA-C) is practicing under active NPI?
Directory data currently reports MR. DAVID RAUL REAVIS (PA-C) as active.
What taxonomy line describes MR. DAVID RAUL REAVIS (PA-C)?
For research purposes, treat MR. DAVID RAUL REAVIS (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. DAVID RAUL REAVIS (PA-C) based?
MR. DAVID RAUL REAVIS (PA-C) is tied to Salem, Oregon in the data we show; additional addresses may exist on the full record.
Why does MR. DAVID RAUL REAVIS (PA-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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