JON DUANE SOBOTKA (M.D.) – Psychiatry Physician, NPI 1356326516
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
455 PSYCHIATRY in OR
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Provider Addresses for JON DUANE SOBOTKA (M.D.)
621, Northwest 35th Street, Corvallis, Benton County, Oregon, 97330, United States
CORVALLIS, OR 973304914
Phone: (541) 740-8846
Type: Mailing
Benton County Public Services Building, 530, Northwest 27th Street, Corvallis, Benton County, Oregon, 97330, United States
BENTON COUNTY HEALTH DEPARTMENT
CORVALLIS, OR 973305223
Phone: (541) 766-6835
Fax: (541) 766-6186
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-02-01 • Largest payer in this snapshot: ABBVIE INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $14 |
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: 2004-08-13
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 |
|---|---|---|---|---|
| I20040813000953 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 145 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 26 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 28 | 14 | $0 |
Insurance plans in this area (ZIP 97330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OR | |
| Mental Health Counselor | OR | |
| - | OR | |
| Mental Health Counselor | OH | |
| Clinical Social Worker | OR | |
| - | OR | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| - | OR | |
| - | OR |
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