MR. BENJAMIN COLEMAN PANTHER (PA-C) – Physician Assistant, NPI 1104227669
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. BENJAMIN COLEMAN PANTHER (PA-C)
3240 NE 3RD AVE
CAMAS, WA 986072408
Phone: (360) 838-2440
Fax: (360) 838-2450
Type: Mailing
3240 NE 3rd Ave
Camas, WA 986072408
Phone: (360) 838-2440
Fax: (360) 838-2450
Type: Location
505 NE 87th Ave Ste 260
Vancouver, WA 986641965
Phone: (360) 514-6450
Fax: (360) 514-6451
Type: Location
16811 SE McGillivray Blvd
Vancouver, WA 986833404
Phone: (360) 735-8100
Fax: (360) 253-1781
Type: Location
315 NE 192nd Avenue, Suite 310
camas, WA 98607
Phone: (360) 729-8200
Fax: (360) 729-8201
Type: Location
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: 2016-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161031001268 | I | Physician Assistant | WA | 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 | 245 | 165 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 91 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 66 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | 30 | $0 |
| G0009 | Administration of pneumococcal vaccine | 30 | 30 | $0 |
Insurance plans in this area (ZIP 98607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| Physician Assistant | WA | |
| General Surgery, Thoracic Surgery | WA | |
| General Surgery, Thoracic Surgery | WA | |
| Family Practice | WA | |
| O P H T H A L M O L O G Y | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| Medical Oncology | WA | |
| Nephrology, Internal Medicine | WA |
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