JESUS PRIMITIVO RENDON (PA-C) – Medical Physician Assistant, NPI 1467970616
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for JESUS PRIMITIVO RENDON (PA-C)
West Gage Boulevard, Kennewick, Benton County, Washington, 99336-1117, United States
BLDG A1 BOX 319
KENNEWICK, WA 993368241
Phone: (509) 591-0070
Fax: (509) 396-9661
Type: Mailing
East Mirabeau Parkway, Irwin, Trentwood, Spokane Valley, Spokane County, Washington, 99216, United States
BLDG A STE 200
SPOKANE VALLEY, WA 99216
Phone: (509) 591-0070
Fax: (509) 591-0070
Type: Location
611 N IRON BRIDGE WAY
SPOKANE, WA 992024932
Phone: (509) 444-8888
Type: Mailing
5620 S REGAL ST STE 11
SPOKANE, WA 992237957
Phone: (509) 444-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2023-04-11 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($74).
Total Amount
$109
General + Research + Ownership
Payments
6
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Collegium Pharmaceutical, Inc. | $74 |
| ABBVIE INC. | $20 |
| Boston Scientific Corporation | $15 |
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: 2019-06-13
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 |
|---|---|---|---|---|
| I20190613001555 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 131 | 57 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 90 | 54 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 85 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 99336)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Certified Nurse Midwife (Cnm) | WA | |
| Certified Nurse Midwife (Cnm) | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Mental Health Counselor | WA |
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