Peninsula Radiation Oncology Center – Radiation Oncology Physician, NPI 1316280209
Radiation Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Peninsula Radiation Oncology Center
240 HOSPITAL PLACE
SOLDOTNA, AK 99669
Phone: (907) 222-7762
Fax: (907) 222-7764
Type: Location
1044 JACKSON FELTS RD
JOELTON, TN 370804839
Phone: (615) 746-4711
Fax: (615) 296-0952
Type: Mailing
240 HOSPITAL PL
SOLDOTNA, AK 996697559
Phone: (907) 222-7762
Fax: (907) 222-7764
Type: Location
PO BOX 3991
SEATTLE, WA 981243991
Phone: (615) 746-4711
Fax: (615) 296-0952
Type: Mailing
3851 Piper St Ste Ll002
Anchorage, AK 995084684
Phone: (907) 212-3186
Fax: (907) 212-3665
Type: Location
2250 S Woodworth Loop Ste 100
Palmer, AK 996457457
Phone: (907) 707-1333
Fax: (844) 248-7515
Type: Location
240 Hospital Pl
Soldotna, AK 996697559
Phone: (907) 222-7762
Fax: (907) 222-7764
Type: Location
188 W NORTHERN LIGHTS BLVD # 100
ANCHORAGE, AK 995033902
Phone: (907) 562-2002
Fax: (907) 562-2002
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: 2013-09-19
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 |
|---|---|---|---|---|
| O20130919000398 | O | Clinic/Group Practice | AK | 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 99669)
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