DR. JASON C LICHTENBERGER (MD) – Otolaryngology Physician, NPI 1104986769
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
321 OTOLARYNGOLOGY in WA
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Provider Addresses for DR. JASON C LICHTENBERGER (MD)
2940, Squalicum Parkway, Parkview, Cornwall Park, Bellingham, Whatcom County, Washington, 98225, United States
#203
BELLINGHAM, WA 982251892
Phone: (802) 318-1550
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)
CMS reports 8 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($103).
Total Amount
$181
General + Research + Ownership
Payments
8
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $103 |
| ABBVIE INC. | $52 |
| Medtronic, Inc. | $26 |
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: 2010-09-03
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 |
|---|---|---|---|---|
| I20100903000983 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 5,640 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 61 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 39 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 98225)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | WA | 17003 | Destruction of 2-14 skin growths | 89 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | WA | |
| Qualified Audiologist | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | NE | |
| Qualified Audiologist | ID | |
| Physician Assistant | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | CA | |
| Qualified Audiologist | WA |
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