EDWARD TAYLOR (P.A.C.) – Medical Physician Assistant, NPI 1699790022
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for EDWARD TAYLOR (P.A.C.)
930 SW Abbey St
Suite F
Newport, OR 973654820
Phone: (541) 574-4860
Fax: (541) 574-4889
Type: Location
920 SW RANGE DR
WALDPORT, OR 973949634
Phone: (541) 563-3197
Type: Location
PO BOX 2847
CORVALLIS, OR 973392847
Phone:
Type: Mailing
Samaritan Pacific Communities Hospital, 930, Southwest Abbey Street, Nye Beach, Newport, Lincoln County, Oregon, 97365, United States
SUITE F
NEWPORT, OR 973654820
Phone: (541) 574-4860
Fax: (541) 574-4889
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($60).
Total Amount
$144
General + Research + Ownership
Payments
6
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $60 |
| PFIZER INC. | $39 |
| Novo Nordisk Inc | $25 |
| Exact Sciences Corporation | $20 |
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: 2008-03-03
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 |
|---|---|---|---|---|
| I20080303000694 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97365)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | LA | |
| - | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Physician Assistant | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Internal Medicine | OR | |
| General Surgery | OR | |
| Diagnostic Radiology | MA | |
| - | OR | |
| Diagnostic Radiology | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.