DAVID LAWRENCE FEDEROFF (PA) – Physician Assistant, NPI 1356812291
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for DAVID LAWRENCE FEDEROFF (PA)
35 Mullins Dr Ste 2
Lebanon, OR 973553985
Phone: (541) 451-7915
Fax: (541) 451-7973
Type: Location
9041 Magnolia Ave Ste 107
Riverside, CA 925033942
Phone: (951) 353-1021
Type: Location
Mullins Drive, Lebanon, Linn County, Oregon, 97355, United States
LEBANON, OR 973553985
Phone: (541) 451-7915
Fax: (541) 451-7973
Type: Location
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
157 SPAULDING AVE
BROWNSVILLE, OR 97327
Phone: (541) 451-6940
Type: Location
PO BOX 1193
CORVALLIS, OR 973391193
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-03-10
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 |
|---|---|---|---|---|
| I20200310002840 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97355)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Hospitalist, Internal Medicine | OR | |
| - | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Physician Assistant | OR | |
| P O D I A T R Y | OR |
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