MRS. MARY LOU PINE (PA-C) – Physician Assistant, NPI 1649388588
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 MRS. MARY LOU PINE (PA-C)
South 11th Street, Sunnyside, Yakima County, Washington, 98944, United States
SUNNYSIDE, WA 989442243
Phone: (509) 839-6822
Type: Location
203, Southwest Malibu Drive, Montecito Estates, Prosser, Benton County, Washington, 99350, United States
PROSSER, WA 99350
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,637.
Total Amount is formed as General ($1,637) + Research ($0) + Ownership ($0) = $1,637.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($652).
Total Amount
$1,637
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-01-20
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 |
|---|---|---|---|---|
| I20090120000112 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 320 | 158 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 250 | 147 | $0 |
| 83036 | Hemoglobin a1c level | 164 | 99 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 124 | 53 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 67 | 57 | $0 |
Insurance plans in this area (ZIP 98944)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA |
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