ALISON JOY PETTINGER (PA) – Physician Assistant, NPI 1144703984
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for ALISON JOY PETTINGER (PA)
11216 Sunrise Blvd E Ste 3-102
Puyallup, WA 98374
Phone: (253) 848-3000
Type: Location
5225 Cirque Dr W Ste 200
University Place, WA 98467
Phone: (253) 564-3365
Type: Location
101, South Meridian, Puyallup, Pierce County, Washington, 98371, United States
PUYALLUP, WA 98371
Phone: (253) 848-3000
Type: Location
6512 407TH ST E
EATONVILLE, WA 983289277
Phone: (253) 355-0220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $891.
Total Amount is formed as General ($891) + Research ($0) + Ownership ($0) = $891.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($241).
Total Amount
$891
General + Research + Ownership
Payments
43
Total payment records
General Amount
$891
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $241 |
| Galderma Laboratories, L.P. | $102 |
| UCB, Inc. | $100 |
| Novartis Pharmaceuticals Corporation | $86 |
| Lilly USA, LLC | $81 |
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: 2020-05-21
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 |
|---|---|---|---|---|
| I20200521002853 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| - | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Physician Assistant | WA | |
| O P H T H A L M O L O G Y | TX | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | WA | |
| O P H T H A L M O L O G Y | WA | |
| - | WA | |
| - | WA |
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