SCOTT ERIC BEVANS (M.D.) – Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician, NPI 1790911576
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
147 PLASTIC AND RECONSTRUCTIVE SURGERY in WA
Provider Addresses for SCOTT ERIC BEVANS (M.D.)
316 MARTIN LUTHER KING JR WAY STE 305
TACOMA, WA 984054260
Phone: (253) 403-0065
Type: Location
1 Jarrett White Rd
Tripler Amc, HI 968595001
Phone: (808) 433-5334
Type: Location
Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States
FORT SAM HOUSTON, TX 782344504
Phone:
Type: Mailing
1 JARRETT WHITE RD
TRIPLER AMC, HI 968595001
Phone: (808) 433-5334
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,725.
Total Amount is formed as General ($1,725) + Research ($0) + Ownership ($0) = $1,725.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Stryker Corporation ($1,042).
Total Amount
$1,725
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,725
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,042 |
| Synthes GmbH | $500 |
| KLS-Martin L.P. | $183 |
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: 2022-04-18
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 |
|---|---|---|---|---|
| I20140719000047 | I | Otolaryngology | WA | TBD |
| I20220418000886 | I | Otolaryngology | HI | 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 98405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
Reviews
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