INEKE J GLAVOR (PA-C) – Physician Assistant, NPI 1467722629
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INEKE J GLAVOR (PA-C)
2050 BEAVERCREEK RD
SUITE 101 PMB 329
OREGON CITY, OR 970454301
Phone: (775) 848-3425
Type: Mailing
17070 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 972674960
Phone: (360) 909-5611
Type: Location
17070 SE McLoughlin Blvd
Milwaukie, OR 972674960
Phone: (360) 909-5611
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone:
Type: Mailing
1321 NE 99TH AVE STE 200
PORTLAND, OR 972209439
Phone: (503) 215-4250
Type: Location
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: 2012-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120312000545 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 97045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| - | OR | |
| N E U R O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Infectious Disease, Internal Medicine | OR | |
| Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Clinical Psychologist | OR |
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