BARBARA JEAN MACGILLIVRAY (MD) – Surgery Physician, NPI 1679108609

BARBARA JEAN MACGILLIVRAY (MD) is a healthcare provider. based in Goldendale, Washington. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD61033561 (WA). The NPI Number for BARBARA JEAN MACGILLIVRAY (MD) is 1679108609

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
BARBARA JEAN MACGILLIVRAY (MD)
NPI
1679108609
Phone
(509) 773-1011
Address
310 S ROOSEVELT ST
Enumeration Date
10 March 2020
Last Update Date
10 March 2020

Doctor Profile

Medical School Name
DALHOUSIE UNIVERSITY FACULTY OF DENTISTRY
Secondary Phone
5094862151
Graduation Year
1995 (31 years ago)
PAC ID
8820428600
Group Practice PAC ID
0648164269
Professional Enrollment ID
I20200417002548
Address ID
WA986209201GO310XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

826 GENERAL SURGERY in WA

Provider Addresses for BARBARA JEAN MACGILLIVRAY (MD)

  • 310 S ROOSEVELT ST

    GOLDENDALE, WA 986209201

    Phone: (509) 773-1011

    Fax: (509) 773-1941

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $1,862.

Total Amount is formed as General ($1,862) + Research ($0) + Ownership ($0) = $1,862.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($1,842).

Total Amount

$1,862

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,862

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MIMEDX Group, Inc.$1,842
ConvaTec Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2020-04-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200417002548IGeneral SurgeryWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 98620)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648164269View full group profile
NameSpecialtyState
Family Practice, Preventive MedicineNM
Physician AssistantMT
Pain ManagementWA
Internal MedicineWA
Nurse PractitionerTN
O P T O M E T R YWA
-WA
Nurse PractitionerWA
Physician AssistantWA
Emergency Medicine, Family Practice, Family PracticeWA

Reviews

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Frequently asked questions

What identifier follows BARBARA JEAN MACGILLIVRAY (MD) across health systems?
The NPI 1679108609 uniquely identifies BARBARA JEAN MACGILLIVRAY (MD) in U.S. healthcare data.
Is BARBARA JEAN MACGILLIVRAY (MD) currently accepting referrals based on NPI status?
Registry metadata lists BARBARA JEAN MACGILLIVRAY (MD) as active.
What services align with BARBARA JEAN MACGILLIVRAY (MD)'s listing?
BARBARA JEAN MACGILLIVRAY (MD)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BARBARA JEAN MACGILLIVRAY (MD)?
BARBARA JEAN MACGILLIVRAY (MD) is associated with Goldendale, Washington in the same public data insurers reference.
Can I export BARBARA JEAN MACGILLIVRAY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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