KIMBERLY J LAVOIE (MS CCCA) – Audiologist, NPI 1588821409
Audiologist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
132 QUALIFIED AUDIOLOGIST in OR
Provider Addresses for KIMBERLY J LAVOIE (MS CCCA)
1508 Division St Ste 115
Oregon City, OR 970451584
Phone: (503) 656-0601
Fax: (503) 656-1389
Type: Location
Lake Oswego Medical, 17704, Jean Way, Cook, Jean, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States
SUITE 101
LAKE OSWEGO, OR 97035
Phone: (503) 699-0370
Fax: (503) 699-2573
Type: Mailing
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: 2008-07-01
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 |
|---|---|---|---|---|
| I20080701000075 | I | Qualified Audiologist | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| - | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Gastroenterology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Qualified Audiologist | OR | |
| Physician Assistant | OR | |
| N E U R O S U R G E R Y | OR |
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