MR. DAVEN MARCEL PANTOHAN (PA-C) – Physician Assistant, NPI 1235531393
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. DAVEN MARCEL PANTOHAN (PA-C)
3726 BROADWAY STE 201
EVERETT, WA 982013788
Phone: (425) 317-9119
Fax: (425) 317-9118
Type: Mailing
805 MADISON ST
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Type: Mailing
601 BROADWAY
6TH FLOOR
SEATTLE, WA 981225330
Phone: (206) 386-2600
Fax: (206) 622-1644
Type: Location
601 Broadway
6th Floor
Seattle, WA 981225330
Phone: (206) 386-2600
Fax: (206) 622-1644
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Abbott Laboratories ($175).
Total Amount
$175
General + Research + Ownership
Payments
1
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $175 |
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: 2016-03-17
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 |
|---|---|---|---|---|
| I20160317001020 | 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 98201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | UT | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| R H E U M A T O L O G Y | WA | |
| Physician Assistant | WA | |
| Critical Care (Intensivists), Internal Medicine, Pediatric Medicine | WA |
Reviews
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