MICHAEL BEAUCHAINE – Physician Assistant, NPI 1255672465
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MICHAEL BEAUCHAINE
PO BOX 19070
GREEN BAY, WI 543079070
Phone: (920) 496-4700
Type: Mailing
2020 8TH AVE
SUITE 200
WEST LINN, OR 97068
Phone: (503) 512-1212
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: 2021-01-21
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 |
|---|---|---|---|---|
| I20171121001018 | I | Physician Assistant | WI | TBD |
| I20210121002074 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,023 | 128 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 398 | 224 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 214 | 143 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 84 | 78 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 67 | 57 | $0 |
Insurance plans in this area (ZIP 54307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | MI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | WI |
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