TRAVIS EDMISTON (MD) – Spinal Cord Injury Medicine Physician, NPI 1689093023
Spinal Cord Injury Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
320 PHYSICAL MEDICINE AND REHABILITATION in WA
Provider Addresses for TRAVIS EDMISTON (MD)
1959 NE Pacific St
Box 356410
Seattle, WA 981950001
Phone: (206) 543-3654
Type: Location
4025 SW CONDOR AVE
PORTLAND, OR 972394172
Phone: (541) 740-8978
Type: Mailing
7601 IMPERIAL HWY
DOWNEY, CA 902423456
Phone: (562) 385-7713
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: DENTSPLY IH AB ($57).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DENTSPLY IH AB | $57 |
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: 2022-02-12
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 |
|---|---|---|---|---|
| I20220212000005 | I | Physical Medicine And Rehabilitation | MD | 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 | 47 | 20 | $0 |
Insurance plans in this area (ZIP 98195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Pediatric Medicine | MD | |
| N E U R O L O G Y | MD | |
| Nurse Practitioner | MD | |
| Pediatric Medicine, Neurology | MD | |
| - | MD | |
| - | MD | |
| Physical Medicine And Rehabilitation | MD | |
| Medical Oncology | MN | |
| P S Y C H I A T R Y | MD | |
| P S Y C H I A T R Y | MD |
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