MR. ETHAN DAVID BURDMAN (PA-C, MPAS) – Medical Physician Assistant, NPI 1710130190
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. ETHAN DAVID BURDMAN (PA-C, MPAS)
1515 Village Dr
Cottage Grove, OR 974249700
Phone: (541) 767-5222
Fax: (541) 767-5230
Type: Location
1515 VILLAGE DR
COTTAGE GROVE, OR 974249700
Phone: (541) 767-5222
Type: Mailing
401, West Lincoln Avenue, Gettysburg, Adams County, Pennsylvania, 17325, United States
GETTYSBURG, SD 574421420
Phone: (206) 679-4703
Type: Mailing
608, East Garfield Avenue, Gettysburg, Potter County, South Dakota, 57442, United States
GETTYSBURG, SD 574421325
Phone: (605) 765-2273
Fax: (605) 765-3212
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: 2014-02-24
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 |
|---|---|---|---|---|
| I20140224002074 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 83 | 76 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 47 | 47 | $0 |
Insurance plans in this area (ZIP 97424)
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