CLINTON JAMES FORISKA (DO) – Family Medicine Physician, NPI 1982277703
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 CLINTON JAMES FORISKA (DO)
200 University Pkwy
Yakima, WA 989019539
Phone: (509) 452-5100
Type: Location
914 S Scheuber Rd
Centralia, WA 985319027
Phone: (360) 736-2803
Type: Location
1718 E Kessler Blvd
Longview, WA 986321842
Phone: (360) 747-5800
Fax: (360) 575-3846
Type: Location
101 RAINBOW WAY UNIT B
KELSO, WA 986262046
Phone:
Type: Mailing
521 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054238
Phone: (253) 792-6680
Fax: (253) 403-2915
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $10.
Total Amount is formed as General ($10) + Research ($0) + Ownership ($0) = $10.
Last reported payment date: 2023-12-08 • Largest payer in this snapshot: Organon LLC ($10).
Total Amount
$10
General + Research + Ownership
Payments
2
Total payment records
General Amount
$10
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $10 |
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: 2025-07-16
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 |
|---|---|---|---|---|
| I20250716001604 | I | Family Practice | WA | 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 98901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| H E M A T O L O G Y | CA | |
| Nurse Practitioner | WA | |
| - | WA | |
| P S Y C H I A T R Y | WA | |
| - | WA | |
| P S Y C H I A T R Y | VA | |
| - | OR | |
| Nurse Practitioner | WA |
Reviews
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