MICHAEL JOSEPH ALLEN (D.O.) – Family Medicine Physician, NPI 1801162656

MICHAEL JOSEPH ALLEN (D.O.) is a healthcare provider. based in La pine, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. DO171109 (OR). The NPI Number for MICHAEL JOSEPH ALLEN (D.O.) is 1801162656

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOSEPH ALLEN (D.O.)
NPI
1801162656
Phone
(541) 536-3435
Address
51600 HUNTINGTON RD
Enumeration Date
27 March 2012
Last Update Date
22 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094824402
Graduation Year
2012 (14 years ago)
PAC ID
2668785239
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20210910002885
Address ID
WA992081124SP6002XSTXX400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

2,081 FAMILY PRACTICE in OR

Provider Addresses for MICHAEL JOSEPH ALLEN (D.O.)

  • 51600 HUNTINGTON RD

    LA PINE, OR 977398887

    Phone: (541) 536-3435

    Fax: (541) 536-8047

    Type: Mailing

  • 401 S MAIN AVE

    SPOKANE, WA 99006

    Phone: (509) 444-8200

    Type: Location

  • 611 N IRON BRIDGE WAY

    SPOKANE, WA 992024932

    Phone: (509) 444-8888

    Fax: (509) 482-5071

    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: 2021-09-10

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
I20210910002885IFamily PracticeWATBD

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 97739)

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Provider's Procedures

MICHAEL JOSEPH ALLEN (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOR81002Urinalysis, manual test2522
FAMILY MEDICINEOR85610Blood test, clotting time9420

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: 9032022579View full group profile

Reviews

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Frequently asked questions

Does MICHAEL JOSEPH ALLEN (D.O.) have a public NPI I can cite?
Public records show MICHAEL JOSEPH ALLEN (D.O.) under NPI 1801162656.
Does the public listing show MICHAEL JOSEPH ALLEN (D.O.) as active?
MICHAEL JOSEPH ALLEN (D.O.)'s NPI record reflects an active status in NPPES.
What services align with MICHAEL JOSEPH ALLEN (D.O.)'s listing?
MICHAEL JOSEPH ALLEN (D.O.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL JOSEPH ALLEN (D.O.)?
MICHAEL JOSEPH ALLEN (D.O.) shows a connection to La Pine, Oregon in registry-derived data.
Who maintains MICHAEL JOSEPH ALLEN (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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