LAWRENCE MICHAEL DIMACALI (PA-C) – Physician Assistant, NPI 1306394317

LAWRENCE MICHAEL DIMACALI (PA-C) is a healthcare provider. based in Keizer, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA190503 (OR). The NPI Number for LAWRENCE MICHAEL DIMACALI (PA-C) is 1306394317

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE MICHAEL DIMACALI (PA-C)
NPI
1306394317
Phone
(503) 540-6471
Address
5825 Shoreview Ln N
Enumeration Date
19 September 2016
Last Update Date
10 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104235000
Graduation Year
2018 (8 years ago)
PAC ID
4284970401
Group Practice PAC ID
0446169114
Professional Enrollment ID
I20220216002118
Address ID
CA900481804WE8700XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for LAWRENCE MICHAEL DIMACALI (PA-C)

  • 5825 Shoreview Ln N

    Keizer, OR 973033978

    Phone: (503) 540-6471

    Fax: (503) 540-6404

    Type: Location

  • 1600, State Street, Salem, Marion County, Oregon, 97311, United States

    SALEM, OR 973014257

    Phone: (503) 540-6300

    Fax: (503) 540-6404

    Type: Mailing

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 $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Orthofix Medical, Inc. ($180).

Total Amount

$180

General + Research + Ownership

Payments

3

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Orthofix Medical, Inc.$180
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: 2022-02-16

PECOS data refreshed: 2026-06-15

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
I20220216002118IPhysician AssistantCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 97303)

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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: 0446169114View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryCA
-WA
Nurse PractitionerCA
Physician AssistantCA
Clinical PsychologistCA
Nurse PractitionerCA
Nurse PractitionerCA
General Surgery, Critical Care (Intensivists)CA
Internal MedicineCA
Plastic And Reconstructive SurgeryCA

Reviews

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Frequently asked questions

What is the registry number for LAWRENCE MICHAEL DIMACALI (PA-C)?
The registry entry for LAWRENCE MICHAEL DIMACALI (PA-C) shows NPI 1306394317.
Is LAWRENCE MICHAEL DIMACALI (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists LAWRENCE MICHAEL DIMACALI (PA-C) as active.
How should patients interpret LAWRENCE MICHAEL DIMACALI (PA-C)'s specialty?
The extract shows Physician Assistant for LAWRENCE MICHAEL DIMACALI (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LAWRENCE MICHAEL DIMACALI (PA-C)?
LAWRENCE MICHAEL DIMACALI (PA-C) is associated with Keizer, Oregon in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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