YONKER PLASTIC SURGERY, LLC – Plastic Surgery Physician, NPI 1881219350

YONKER PLASTIC SURGERY, LLC is a healthcare provider. based in Salem, Oregon. specializing in Plastic Surgery Physician. The NPI Number for YONKER PLASTIC SURGERY, LLC is 1881219350

Main info

Organization
Name
YONKER PLASTIC SURGERY, LLC
NPI
1881219350
Phone
(503) 561-7000
Address
875 OAK ST SE STE 4060
Authorized Official
KRISTIN E VEPREK PRACTICE MANAGER
Enumeration Date
10 June 2020
Last Update Date
10 June 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for YONKER PLASTIC SURGERY, LLC

  • 875 OAK ST SE STE 4060

    SALEM, OR 973013990

    Phone: (503) 561-7000

    Mailing address matches the actual address.

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: 2020-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-07-31 (52 days away).

Enrollment records

1

Earliest due date

2026-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200805000567OClinic/Group PracticeOR2026-07-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

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 97301)

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Reviews

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Frequently asked questions

Does YONKER PLASTIC SURGERY, LLC have a public NPI I can cite?
Public records show YONKER PLASTIC SURGERY, LLC under NPI 1881219350.
Is YONKER PLASTIC SURGERY, LLC's NPI status active today?
Active status means YONKER PLASTIC SURGERY, LLC's NPI record is not deactivated in the public file.
How should patients interpret YONKER PLASTIC SURGERY, LLC's specialty?
The extract shows Plastic Surgery Physician for YONKER PLASTIC SURGERY, LLC. Clinical services aligned with this taxonomy classification.
Which community is linked to YONKER PLASTIC SURGERY, LLC?
YONKER PLASTIC SURGERY, LLC shows a connection to Salem, Oregon in registry-derived data.
Can I export YONKER PLASTIC SURGERY, LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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