UNITED WOUND HEALING PS – Surgery Physician, NPI 1669845327
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for UNITED WOUND HEALING PS
5200 Meadows Rd Ste 200
Lake Oswego, OR 970350086
Phone: (855) 255-1750
Fax: (855) 255-0905
Type: Location
500 S 8th St
Boise, ID 837027107
Phone: (855) 255-1750
Fax: (855) 255-0905
Type: Location
6200 Savoy Dr Ste 1202
Houston, TX 770363397
Phone: (855) 255-1750
Fax: (855) 255-0905
Type: Location
3115 E Lion Ln Ste 160
Salt Lake City, UT 841213514
Phone: (855) 255-1750
Fax: (855) 255-0905
Type: Location
2913 5TH AVE NE STE 101
PUYALLUP, WA 983726748
Phone: (855) 255-1750
Fax: (855) 255-0905
Type: Mailing
413 29TH ST NE STE I
PUYALLUP, WA 983727154
Phone: (855) 255-1750
Fax: (855) 255-0905
Type: Mailing
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: 2021-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
5
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20160105002318 | O | Clinic/Group Practice | WA | 2024-02-29 |
| O20171110002125 | O | Clinic/Group Practice | ID | 2023-12-31 |
| O20171121002084 | O | Clinic/Group Practice | OR | 2023-12-31 |
| O20180116001866 | O | Clinic/Group Practice | UT | 2024-08-31 |
| O20210915001113 | O | Clinic/Group Practice | TX | 2026-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 97035)
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