MS. SUPRIYA S KAUSHIK (PA-C) – Physician Assistant, NPI 1730482324
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. SUPRIYA S KAUSHIK (PA-C)
5 CENTERPOINTE DRIVE
SUITE 600
LAKE OSWEGO, OR 970358662
Phone: (503) 597-9910
Type: Mailing
5 CENTERPOINTE DR
SUITE 600
LAKE OSWEGO, OR 970358651
Phone: (503) 597-9910
Type: Location
4400 NE HALSEY ST BLDG 2
PORTLAND, OR 972131545
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.
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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: 2016-06-22
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 |
|---|---|---|---|---|
| I20160622001057 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 75 | 31 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 35 | 16 | $0 |
Insurance plans in this area (ZIP 97035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| - | OR | |
| N E U R O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Infectious Disease, Internal Medicine | OR | |
| Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Clinical Psychologist | OR |
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