PRISCILLA W LATTA (M.D.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1639154974

PRISCILLA W LATTA (M.D.) is a healthcare provider. based in Corvallis, Oregon. specializing in UNDERSEA AND HYPERBARIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD151051 (OR). The NPI Number for PRISCILLA W LATTA (M.D.) is 1639154974

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
PRISCILLA W LATTA (M.D.)
NPI
1639154974
Phone
Not provided
Address
PO BOX 1188
Enumeration Date
9 December 2005
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
5418124000
Graduation Year
2002 (24 years ago)
PAC ID
8325089469
Group Practice PAC ID
9931097987
Professional Enrollment ID
I20100722000630
Address ID
OR973211916AL1046XSWXX400

Contacts

Secure Messaging
platta7130@samhealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100722000630IUndersea And Hyperbaric MedicineORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes14958$0
11042Removal of skin and tissue, 20.0 sq cm or less11143$0
99214Established patient office or other outpatient visit, 30-39 minutes6433$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 97339)

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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: 9931097987View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
-OR
-OR
-OR
Clinical PsychologistOR
Internal Medicine, Pediatric MedicineOR
Family PracticeOR
-OR
Hospitalist, Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for PRISCILLA W LATTA (M.D.)?
PRISCILLA W LATTA (M.D.) — NPI 1639154974 — is the standard way to identify this listing.
Is PRISCILLA W LATTA (M.D.) listed as active for patients and plans?
The listing shows PRISCILLA W LATTA (M.D.) as active in the NPI system.
What is PRISCILLA W LATTA (M.D.)'s primary classification?
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician is the headline specialty for PRISCILLA W LATTA (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect PRISCILLA W LATTA (M.D.) on a map?
Expect Corvallis, Oregon as a primary anchor for PRISCILLA W LATTA (M.D.) unless the record lists multiple sites.
Is the information about PRISCILLA W LATTA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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