TOMMY VU (PA) – Surgical Physician Assistant, NPI 1750784039

TOMMY VU (PA) is a healthcare provider. based in Keizer, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA170181 (OR). The NPI Number for TOMMY VU (PA) is 1750784039

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
TOMMY VU (PA)
NPI
1750784039
Phone
(503) 540-6471
Address
5825 Shoreview Ln N
Enumeration Date
1 October 2014
Last Update Date
16 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035615200
Graduation Year
2014 (12 years ago)
PAC ID
8426371493
Group Practice PAC ID
8628986668
Professional Enrollment ID
I20141223001528
Address ID
OR973014257SA1600XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for TOMMY VU (PA)

  • 5825 Shoreview Ln N

    Keizer, OR 973033978

    Phone: (503) 540-6471

    Fax: (503) 540-6404

    Type: Location

  • 1600 STATE ST

    SALEM, OR 973014257

    Phone: (503) 540-6300

    Fax: (503) 540-6404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-08-19 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-19

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: 2014-12-23

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
I20141223001528IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg55265$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance14968$0
73030X-ray of shoulder, minimum of 2 views5245$0
99214Established patient office or other outpatient visit, 30-39 minutes4943$0
99213Established patient office or other outpatient visit, 20-29 minutes2119$0
View full utilization report →

Insurance plans in this area (ZIP 97303)

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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: 8628986668View full group profile
NameSpecialtyState
-OR
U R O L O G YOR
Physician AssistantOR
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YMT
Family PracticeOR
Plastic And Reconstructive SurgeryOR
Nurse PractitionerOR
A N E S T H E S I O L O G YWA
-OR

Reviews

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Frequently asked questions

Is there an official ID for TOMMY VU (PA) in U.S. healthcare records?
The official identifier for TOMMY VU (PA) is NPI 1750784039.
Is TOMMY VU (PA) still an active registrant?
TOMMY VU (PA) carries an active NPI according to the public dataset.
What expertise is attributed to TOMMY VU (PA)?
TOMMY VU (PA)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Oregon is TOMMY VU (PA) registered?
Use Keizer, Oregon as the headline location for TOMMY VU (PA) here.
Does TOMMY VU (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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