PEACEHEALTH MEDICAL GROUP – Family Medicine Physician, NPI 1447207287
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PEACEHEALTH MEDICAL GROUP
PO BOX 24410
EUGENE, OR 974020451
Phone:
Type: Mailing
1200, Hilyard Street, Eugene, Lane County, Oregon, 97401, United States
EUGENE, OR 974018122
Phone: (541) 687-6217
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: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 13 Medicare enrollment records; no due dates published yet.
Enrollment records
13
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 |
|---|---|---|---|---|
| O20031113000097 | O | Clinic/Group Practice | OR | TBD |
| O20250902000267 | O | Clinic/Group Practice | CO | TBD |
| O20250919003429 | O | Clinic/Group Practice | IA | TBD |
| O20250929000018 | O | Clinic/Group Practice | FL | TBD |
| O20250930002964 | O | Clinic/Group Practice | TN | TBD |
| O20251002001841 | O | Clinic/Group Practice | CA | TBD |
| O20251015003493 | O | Clinic/Group Practice | NM | TBD |
| O20251016001484 | O | Clinic/Group Practice | NC | TBD |
| O20251120004492 | O | Clinic/Group Practice | VA | TBD |
| O20251218004001 | O | Clinic/Group Practice | GA | TBD |
| O20260128001668 | O | Clinic/Group Practice | PA | TBD |
| O20260225003605 | O | Clinic/Group Practice | OH | TBD |
| O20260304001072 | O | Independent Clinical Laboratory | OR | 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 97402)
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