ELIZABETH SIEDERS (PA-C) – Physician Assistant, NPI 1588042063
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for ELIZABETH SIEDERS (PA-C)
PO BOX 160
PENDLETON, OR 978010160
Phone: (541) 966-9830
Type: Mailing
46314 TIMINE WAY
PENDLETON, OR 97801
Phone: (541) 966-9830
Fax: (541) 240-8751
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: 2017-04-21
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 |
|---|---|---|---|---|
| I20170421001653 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 210 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 154 | 86 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 116 | 77 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 104 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 68 | $0 |
Insurance plans in this area (ZIP 97801)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | PA | |
| Physician Assistant | OR | |
| Physical Therapist In Private Practice | NV | |
| Registered Dietitian Or Nutrition Professional | OR | |
| Nurse Practitioner | WA | |
| Physical Therapist In Private Practice | CA | |
| - | OR | |
| Clinical Social Worker | OR | |
| - | OR | |
| P O D I A T R Y | OH |
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