JUSTIN CAMERON – Physician Assistant, NPI 1639659279

JUSTIN CAMERON is a healthcare provider. based in Fossil, Oregon. specializing in PHYSICIAN ASSISTANT. The NPI Number for JUSTIN CAMERON is 1639659279

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN CAMERON
NPI
1639659279
Phone
Not provided
Address
PO BOX 37
Enumeration Date
14 August 2018
Last Update Date
23 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5419225880
Graduation Year
2020 (6 years ago)
PAC ID
7911322045
Group Practice PAC ID
2365359296
Professional Enrollment ID
I20200805003363
Address ID
OR978446999IR220XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:7State licenses:0Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for JUSTIN CAMERON

  • PO BOX 37

    FOSSIL, OR 978300037

    Phone:

    Type: Mailing

  • 712, Jay Street, Fossil, Wheeler County, Oregon, 97830, United States

    FOSSIL, OR 978308371

    Phone: (541) 763-2725

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $268.

Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: ABIOMED ($130).

Total Amount

$268

General + Research + Ownership

Payments

13

Total payment records

General Amount

$268

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

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: 2020-08-05

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
I20200805003363IPhysician AssistantORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97830)

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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: 2365359296View full group profile
NameSpecialtyState
Physician AssistantOR
-IL
Emergency Medicine, Family PracticeMO
Clinical Social WorkerOR
Clinical Social WorkerOR
Family PracticeOR
Physician AssistantOR
-OR
Nurse PractitionerOR
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the registry number for JUSTIN CAMERON?
The registry entry for JUSTIN CAMERON shows NPI 1639659279.
Quick check: is JUSTIN CAMERON active?
Public NPPES data shows JUSTIN CAMERON with an active NPI status right now.
What type of care does JUSTIN CAMERON provide?
JUSTIN CAMERON's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to JUSTIN CAMERON?
The directory associates JUSTIN CAMERON with Fossil, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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