DR. ALICIA SUZANNA GIMENEZ (MD) – Family Medicine Physician, NPI 1780676148
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for DR. ALICIA SUZANNA GIMENEZ (MD)
PO BOX 1519
WHITE SALMON, WA 986721519
Phone: (509) 493-2133
Fax: (509) 493-9538
Type: Mailing
212 SKYLINE DR
WHITE SALMON, WA 98672
Phone: (509) 493-2133
Fax: (509) 493-9538
Type: Location
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: 2023-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100204000085 | I | Family Practice | WA | TBD |
| I20231030002587 | I | Family Practice | OR | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 84 | 40 | $0 |
| 81002 | Urinalysis, manual test | 25 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 11 | $0 |
Insurance plans in this area (ZIP 98672)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 81002 | Urinalysis, manual test | 20 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Physician Assistant | OR | |
| Family Practice | WA | |
| - | OR | |
| Physician Assistant | OR | |
| Physician Assistant | AR | |
| Internal Medicine, Pediatric Medicine | WA | |
| - | OR |
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