MR. DONALD EDWIN JR. WINDER (PA) – Medical Physician Assistant, NPI 1336411636

MR. DONALD EDWIN JR. WINDER (PA) is a healthcare provider. based in Salem, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA156714 (OR). The NPI Number for MR. DONALD EDWIN JR. WINDER (PA) is 1336411636

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. DONALD EDWIN JR. WINDER (PA)
NPI
1336411636
Phone
(503) 371-1010
Address
2480 LIBERTY ST NE
Enumeration Date
1 February 2012
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033644005
Graduation Year
2011 (15 years ago)
PAC ID
1658532932
Group Practice PAC ID
8325941446
Professional Enrollment ID
I20120412000634
Address ID
OR973060001SA4999XSXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for MR. DONALD EDWIN JR. WINDER (PA)

  • 2480 LIBERTY ST NE

    #110

    SALEM, OR 973018380

    Phone: (503) 371-1010

    Fax: (503) 371-0805

    Type: Mailing

  • PO BOX 1517

    PENDLETON, OR 978010410

    Phone: (541) 278-4332

    Fax: (541) 278-8349

    Type: Mailing

  • 4999 SKYLINE RD S

    SALEM, OR 973062878

    Phone: (541) 364-4005

    Fax: (541) 364-4006

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $804.

Total Amount is formed as General ($804) + Research ($0) + Ownership ($0) = $804.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Averitas Pharma Inc. ($259).

Total Amount

$804

General + Research + Ownership

Payments

32

Total payment records

General Amount

$804

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2012-04-12

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
I20120412000634IPhysician 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 minutes976310$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/ms284116$0
99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional272154$0
80307Testing for presence of drug, by chemistry analyzers16288$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional9057$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

MR. DONALD EDWIN JR. WINDER (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOR20610Aspiration and/or injection of large joint or joint capsule1616

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: 8325941446View full group profile
NameSpecialtyState
Family PracticeOR
Nurse PractitionerOR
A L L E R G Y/ I M M U N O L O G YOR
-OR
Family PracticeOR
-OR
-OR
Physician AssistantOR
Family PracticeOR
Nurse PractitionerOR

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Frequently asked questions

What NPI should I save for MR. DONALD EDWIN JR. WINDER (PA)?
Save NPI 1336411636 if you need a stable reference for MR. DONALD EDWIN JR. WINDER (PA).
Does this profile mean MR. DONALD EDWIN JR. WINDER (PA) is currently active?
Yes — MR. DONALD EDWIN JR. WINDER (PA) appears active in the national provider directory.
What field does MR. DONALD EDWIN JR. WINDER (PA) work in?
You can think of MR. DONALD EDWIN JR. WINDER (PA) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. DONALD EDWIN JR. WINDER (PA)'s primary listing?
We display Salem, Oregon because that is what the record indicates for MR. DONALD EDWIN JR. WINDER (PA).
How can I contact MR. DONALD EDWIN JR. WINDER (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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