EYOB G KIDANE (PA-C) – Physician Assistant, NPI 1215349998
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for EYOB G KIDANE (PA-C)
520 N 4TH AVE
PASCO, WA 993015257
Phone: (509) 416-8849
Fax: (509) 542-3059
Type: Mailing
7425 WRIGLEY DR
STE 100
PASCO, WA 993015292
Phone: (509) 416-8888
Fax: (509) 545-6842
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $373.
Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($68).
Total Amount
$373
General + Research + Ownership
Payments
18
Total payment records
General Amount
$373
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $68 |
| ABBVIE INC. | $54 |
| PFIZER INC. | $48 |
| GlaxoSmithKline, LLC. | $34 |
| Bayer Healthcare Pharmaceuticals Inc. | $28 |
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: 2015-09-22
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 |
|---|---|---|---|---|
| I20150922001188 | 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 99301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Mental Health Counselor | WA | |
| - | TX | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | WA | |
| Clinical Social Worker | WA | |
| General Surgery | NY | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | WA | |
| - | WA | |
| Physical Therapist In Private Practice | OR |
Reviews
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