MS. LEANNE D. TARR (PA-C) – Physician Assistant, NPI 1740518208
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. LEANNE D. TARR (PA-C)
4800, College Street Southeast, Lacey, Thurston County, Washington, 98503, United States
PMG SW WA LACEY IMMEDIATE CARE
LACEY, WA 98503
Phone: (360) 486-2900
Fax: (360) 486-2901
Type: Location
3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083360
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-03-25
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 |
|---|---|---|---|---|
| I20100325000932 | I | Physician Assistant | CA | 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 98503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 20610 | Aspiration and/or injection of large joint or joint capsule | 65 | 44 |
| PHYSICIAN ASSISTANT | CA | 73110 | X-ray of wrist, minimum of 3 views | 44 | 26 |
| PHYSICIAN ASSISTANT | CA | 73562 | X-ray of knee, 3 views | 18 | 12 |
| PHYSICIAN ASSISTANT | CA | 73630 | X-ray of foot, minimum of 3 views | 16 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| - | OR | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | WA | |
| Physician Assistant | FL |
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