CYNTHIA KATANCIK – Medical Physician Assistant, NPI 1972984565

CYNTHIA KATANCIK is a healthcare provider. based in West linn, Oregon. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA165502 (OR). The NPI Number for CYNTHIA KATANCIK is 1972984565

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA KATANCIK
NPI
1972984565
Phone
(503) 657-6010
Address
22400 SALAMO RD
Enumeration Date
9 June 2015
Last Update Date
9 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036927785
Graduation Year
1980 (46 years ago)
PAC ID
6103108949
Group Practice PAC ID
5092609842
Professional Enrollment ID
I20170131001057
Address ID
OR970628353TU19875AVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for CYNTHIA KATANCIK

  • 22400 SALAMO RD

    SUITE 101

    WEST LINN, OR 970688269

    Phone: (503) 657-6010

    Fax: (503) 655-0753

    Mailing address matches the actual address.

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: 2017-01-31

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
I20170131001057IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes225170$0
99215Established patient office or other outpatient visit, 40-54 minutes5648$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1212$0
View full utilization report →

Insurance plans in this area (ZIP 97068)

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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: 5092609842View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to CYNTHIA KATANCIK?
NPI 1972984565 is assigned to CYNTHIA KATANCIK under the national enumeration system.
Does this profile mean CYNTHIA KATANCIK is currently active?
Yes — CYNTHIA KATANCIK appears active in the national provider directory.
Can you summarize CYNTHIA KATANCIK's specialty in plain language?
Clinically, the directory lists CYNTHIA KATANCIK with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for CYNTHIA KATANCIK?
The page summarizes West Linn, Oregon for CYNTHIA KATANCIK; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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