ANDREA CARRASCO (M.D.) – Family Medicine Physician, NPI 1427023621
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for ANDREA CARRASCO (M.D.)
PO BOX 1125
PENDLETON, OR 978010100
Phone: (541) 215-1564
Fax: (541) 215-1567
Type: Mailing
1100 SOUTHGATE STE 2
PENDLETON, OR 978013971
Phone: (541) 215-1564
Fax: (541) 215-1567
Type: Location
4104 STATE HIGHWAY 30
PERTH, NY 120106202
Phone: (518) 883-8620
Fax: (518) 773-4960
Type: Location
Medical Park Drive, Malta, Town of Malta, Saratoga County, New York, 12151, United States
SUITE 206
MALTA, NY 120205061
Phone: (518) 289-2718
Fax: (518) 583-8796
Type: Mailing
99 E STATE ST
GLOVERSVILLE, NY 120781203
Phone: (518) 883-8620
Fax: (518) 883-4960
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,023.
Total Amount is formed as General ($1,023) + Research ($0) + Ownership ($0) = $1,023.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($230).
Total Amount
$1,023
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,023
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $230 |
| AstraZeneca Pharmaceuticals LP | $140 |
| Novo Nordisk Inc | $112 |
| Astellas Pharma US Inc | $111 |
| Baxter Healthcare | $68 |
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: 2019-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100730000839 | I | Family Practice | NY | TBD |
| I20190719001285 | I | Family Practice | 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 | 35 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 20 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 21 | 18 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $0 |
Insurance plans in this area (ZIP 97801)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Diagnostic Radiology | MN | |
| Physician Assistant | NY | |
| Nurse Practitioner | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| - | NY | |
| - | NY |
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