ERIC DONALD OTTENBACHER (PA) – Physician Assistant, NPI 1952308967
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Loading map...
Provider Addresses for ERIC DONALD OTTENBACHER (PA)
PO BOX 249
LONGVIEW, WA 986327154
Phone: (360) 414-2048
Fax: (360) 575-6749
Type: Mailing
PeaceHealth St. John Medical Center, 1615, Delaware Street, Longview, Cowlitz County, Washington, 98632, United States
LONGVIEW, WA 986322310
Phone: (360) 414-2385
Fax: (360) 414-2386
Type: Location
2030 BLUEGRASS CIR
CHEYENNE, WY 820097328
Phone: (317) 635-3500
Fax: (360) 575-6749
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Lilly USA, LLC ($17).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $17 |
| Exact Sciences Corporation | $15 |
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: 2019-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20080616000305 | I | Physician Assistant | SD | TBD |
| I20091105000536 | I | Physician Assistant | TX | TBD |
| I20190211001706 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 144 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 72 | 72 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 64 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 60 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 61 | 59 | $0 |
Insurance plans in this area (ZIP 98632)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WY | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | WY | |
| Physician Assistant | WY | |
| - | CA | |
| Nurse Practitioner | WY | |
| - | CO | |
| Nurse Practitioner | WY | |
| Physician Assistant | CO | |
| Physician Assistant | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.