PRISCILLA W LATTA (M.D.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1639154974
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
6 UNDERSEA AND HYPERBARIC MEDICINE in OR
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Provider Addresses for PRISCILLA W LATTA (M.D.)
Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States
CORVALLIS, OR 973391188
Phone:
Type: Mailing
Hickory Street Northwest, North Albany, Albany, Benton County, Oregon, 97321, United States
ALBANY, OR 973211700
Phone: (541) 812-3360
Fax: (541) 812-4499
Type: Location
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 $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Medtronic, Inc. ($42).
Total Amount
$104
General + Research + Ownership
Payments
4
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $42 |
| Kerecis Limited | $30 |
| PFIZER INC. | $16 |
| Boston Scientific Corporation | $16 |
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: 2010-07-22
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 |
|---|---|---|---|---|
| I20100722000630 | I | Undersea And Hyperbaric Medicine | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 58 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 111 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 97339)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Clinical Psychologist | OR | |
| Internal Medicine, Pediatric Medicine | OR | |
| Family Practice | OR | |
| - | OR | |
| Hospitalist, Family Practice | 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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