JACOB MCAVOY (DMSC, PA-C) – Physician Assistant, NPI 1154975001
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACOB MCAVOY (DMSC, PA-C)
5130 Evergreen Way
Everett, WA 982032875
Phone: (425) 683-0800
Type: Location
93748, Bay Park Lane, Bay Park, Coos County, Oregon, 97420, United States
COOS BAY, OR 974203782
Phone: (541) 217-4108
Type: Mailing
671, Main Street, Lynn, Winston County, Alabama, 35575, United States
WINSTON, OR 974966571
Phone: (541) 492-4550
Type: Location
671 SW MAIN ST
WINSTON, OR 974966571
Phone: (541) 492-4550
Type: Mailing
8444 N 90TH ST STE 100
SCOTTSDALE, AZ 852584437
Phone: (602) 248-8886
Fax: (602) 854-0504
Type: Mailing
651 W 7TH AVE STE 655
EUGENE, OR 974025113
Phone: (458) 320-0320
Type: Location
1077 GATEWAY LOOP
SPRINGFIELD, OR 974771114
Phone: (541) 485-6478
Fax: (541) 868-9606
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $1,332.
Total Amount is formed as General ($1,332) + Research ($0) + Ownership ($0) = $1,332.
Last reported payment date: 2024-07-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($364).
Total Amount
$1,332
General + Research + Ownership
Payments
36
Total payment records
General Amount
$1,332
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $364 |
| GlaxoSmithKline, LLC. | $184 |
| Axsome Therapeutics, Inc. | $168 |
| Lilly USA, LLC | $134 |
| ABBVIE INC. | $134 |
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: 2020-01-29
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 |
|---|---|---|---|---|
| I20200129001881 | I | Physician Assistant | OR | 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 98203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | NE | |
| P S Y C H I A T R Y | ID | |
| Nurse Practitioner | CA | |
| - | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | WA |
Reviews
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