MR. NATHANAEL PATRICK RAY – Physician Assistant, NPI 1639520679
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MR. NATHANAEL PATRICK RAY
2730 SW Moody Ave
CL5PA, OHSU PA Program
Portland, OR 972015042
Phone: (503) 494-3633
Type: Location
Anchorage Native Primary Care Center, 4320, Diplomacy Drive, Anchorage, Alaska, 99508, United States
SCF PRIMARY CARE CLINICS
ANCHORAGE, AK 99508
Phone:
Type: Mailing
2801 DEBARR RD
ANCHORAGE, AK 995082932
Phone:
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: 2021-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180314000090 | I | Physician Assistant | TX | TBD |
| I20210305002262 | I | Physician Assistant | AK | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | 33 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 97201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MT | |
| Internal Medicine | DC | |
| Internal Medicine | FL | |
| Emergency Medicine | OR | |
| Family Practice | CA | |
| Internal Medicine | MI | |
| Internal Medicine | TX | |
| Physician Assistant | OR | |
| Internal Medicine, Hospitalist | NY | |
| Internal Medicine | ID |
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