PEBBLES DAKOTA SHANLEY (M.D.) – Family Medicine Physician, NPI 1962842260
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
Provider Addresses for PEBBLES DAKOTA SHANLEY (M.D.)
PO BOX 4105
PORTLAND, OR 972084105
Phone: (866) 907-1068
Fax: (425) 917-9141
Type: Mailing
1201 E 36TH AVE
ANCHORAGE, AK 995084372
Phone: (907) 562-9229
Fax: (907) 561-4806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $2,135.
Total Amount is formed as General ($2,135) + Research ($0) + Ownership ($0) = $2,135.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($460).
Total Amount
$2,135
General + Research + Ownership
Payments
102
Total payment records
General Amount
$2,135
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 |
|---|---|
| Astellas Pharma US Inc | $460 |
| AstraZeneca Pharmaceuticals LP | $295 |
| ABBVIE INC. | $259 |
| Novo Nordisk Inc | $191 |
| Lilly USA, LLC | $92 |
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: 2016-06-24
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 |
|---|---|---|---|---|
| I20160624000675 | I | Family Practice | AK | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 532 | 241 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 347 | 188 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 242 | 160 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 176 | 125 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 165 | 125 | $0 |
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AK | |
| Family Practice | AK | |
| Nurse Practitioner | AK | |
| Family Practice | AK | |
| - | AK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH |
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