KENDRA LAURY BLOSSER (PA-C) – Physician Assistant, NPI 1457755886
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for KENDRA LAURY BLOSSER (PA-C)
17355 LOWER BOONES FERRY RD
STE 100A
LAKE OSWEGO, OR 970352839
Phone: (503) 224-8399
Fax: (503) 224-5661
Type: Mailing
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 972247166
Phone: (503) 639-6002
Fax: (503) 639-1403
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Stryker Corporation ($75).
Total Amount
$173
General + Research + Ownership
Payments
7
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $75 |
| SANOFI-AVENTIS U.S. LLC | $57 |
| Fidia Pharma USA Inc. | $28 |
| Avanos Medical | $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: 2018-04-16
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 |
|---|---|---|---|---|
| I20180416002307 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 220 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 53 | $0 |
| 73562 | X-ray of knee, 3 views | 54 | 50 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 47 | 40 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 15 | 13 | $0 |
Insurance plans in this area (ZIP 97035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OR | |
| Orthopedic Surgery | OR | |
| Orthopedic Surgery | OR | |
| Hand Surgery, Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| Occupational Therapist In Private Practice | OR | |
| Sports Medicine, Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| P O D I A T R Y | OR | |
| Physician Assistant | OR |
Reviews
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