MAKKALEARN EM (MD) – Gastroenterology Physician, NPI 1487632238

MAKKALEARN EM (MD) is a healthcare provider. based in Salem, Oregon. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD25645 (OR). The NPI Number for MAKKALEARN EM (MD) is 1487632238

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MAKKALEARN EM (MD)
NPI
1487632238
Phone
(503) 399-7520
Address
875 OAK ST SE
Enumeration Date
3 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
8527094234
Group Practice PAC ID
4183611361
Professional Enrollment ID
I20050714000183
Address ID
OR973013975SA875XXSEXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

252 GASTROENTEROLOGY in OR

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Provider Addresses for MAKKALEARN EM (MD)

  • Oak Street Southeast, Salem, Marion County, Oregon, 97311, United States

    STE 3010

    SALEM, OR 97301

    Phone: (503) 399-7520

    Fax: (503) 362-7344

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: PENTAX of America, Inc. ($53).

Total Amount

$125

General + Research + Ownership

Payments

4

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-07-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050714000183IGastroenterologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity422155$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare143140$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope102100$0
88313Special stained specimen slides to examine tissue including interpretation and report8235$0
45380Biopsy of large bowel using a flexible endoscope3737$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

MAKKALEARN EM (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYOR45385Removal of polyps or growths of large bowel using an endoscope6666

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183611361View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineOR
Internal Medicine, GastroenterologyOR
G A S T R O E N T E R O L O G YWA
Physician AssistantOR
G A S T R O E N T E R O L O G YOR
Gastroenterology, Internal MedicineOR
Physician AssistantOR
Physician AssistantOR
Internal Medicine, GastroenterologyUT
Physician AssistantOR

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Frequently asked questions

Can I use this page to confirm MAKKALEARN EM (MD)'s NPI?
Yes. MAKKALEARN EM (MD) is listed with NPI 1487632238 in the public NPI dataset.
Is MAKKALEARN EM (MD) still practicing?
MAKKALEARN EM (MD) is currently listed as active in the public NPI registry.
What is MAKKALEARN EM (MD)'s primary classification?
Gastroenterology Physician is the headline specialty for MAKKALEARN EM (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect MAKKALEARN EM (MD) on a map?
Expect Salem, Oregon as a primary anchor for MAKKALEARN EM (MD) unless the record lists multiple sites.
Why does MAKKALEARN EM (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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