JOY CHIYO DAWN GEPHART (P.A.-C.) – Physician Assistant, NPI 1609077528
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for JOY CHIYO DAWN GEPHART (P.A.-C.)
Maple Street Clinic, 1825, Maple Street, Forest Grove, Metro, Washington County, Oregon, 97116, United States
FOREST GROVE, OR 971161939
Phone: (503) 357-2136
Fax: (503) 359-5479
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 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $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: 2007-06-20
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 |
|---|---|---|---|---|
| I20070620000159 | 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 | 68 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 35 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $0 |
| 83036 | Hemoglobin a1c level | 29 | 18 | $0 |
| G0008 | Administration of influenza virus vaccine | 23 | 23 | $0 |
Insurance plans in this area (ZIP 97116)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sleep Medicine | NC | |
| P A T H O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Internal Medicine | NY | |
| Family Practice | OR | |
| Internal Medicine | NJ | |
| Emergency Medicine | CA | |
| Cardiovascular Disease (Cardiology) | OR | |
| Diagnostic Radiology | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR |
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