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CENTENNIAL MEDICAL GROUP INC

PAC 6103982962 Physician group
CARDIOVASCULAR DISEASE (CARDIOLOGY) · ROSEBURG, OR · hospital-affiliated
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY) — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in ROSEBURG, OR · bills Medicare in 6 states (CA, FL, ID, NJ, OR, WA)
Scale 60 providers on the CMS registry roster · 202 codes billed (five-year data window) · 36,393 services (all billed codes, CY2024)
Medicare paid $1.5M · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 47Advanced-practice 6Other clinicians 0= 53 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 53 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 124 of the group's 202 codes this year, across 6 states (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1629189113 Mccauley, Peter MD Nephrology BakersfieldCA premium
1467974949 Damati, Ahmad MD Cardiology NewarkNJ premium
1659351344 Staley, Brian MD Pathology SpokaneWA premium
1932284528 Bronstein, Gary M.D. Cardiology RoseburgOR premium
1134845407 Richardson, Robert NP Nurse Practitioner RoseburgOR premium
1215993845 Gardner, Michael M.D. Urology TualatinOR premium
1174054746 Hadden, Ryan M.D. Orthopedic Surgery OlympiaWA premium
1295705481 Kloepper, Robert M.D. Orthopedic Surgery RoseburgOR premium
1891143095 Braunlich, Phillip D.O. Orthopedic Surgery RoseburgOR premium
1558395053 Williams, Susan MD Orthopedic Surgery RoseburgOR premium
1861463044 Dauterman, John MD Pathology RoseburgOR premium
1043401201 Cassidy, Erin FNP Nurse Practitioner RoseburgOR premium
1669637096 Pollard, Claire MD Pathology RoseburgOR premium
1972027191 Halabiya, Mohammed MD Pulmonary Disease RoseburgOR premium
1851731004 Diaz Chavez, Alejandro M.D Pulmonary Disease RoseburgOR premium
1407309495 Khorolsky, Ciril M.D. Interventional Cardiology RoseburgOR premium
1144885575 Peterson, Michael PA-C Physician Assistant RoseburgOR premium
1407832868 Gosman, Razvan MD Pulmonary Disease RoseburgOR premium
1487636825 Seely, Bradley MD Ophthalmology RoseburgOR premium
1629054085 Petre Nedita, Luana MD Pulmonary Disease RoseburgOR premium
1144609314 Bingham, Jacob MD Orthopedic Surgery BurleyID premium
1215978671 Dreiling, Roger M.D. Cardiology MedfordOR premium
1639188972 Carlson, Lawrence M.D. Cardiology Klamath FallsOR premium
1487305173 Mcgowan, Shaun PA-C Physician Assistant RoseburgOR premium
1346210994 Walker, John MD Gastroenterology BendOR premium
1629037486 Petre, Sorin M.D. Gastroenterology RoseburgOR premium
1710084199 Vallario, Lawrence M.D. Cardiology Lake MaryFL premium
1164782728 Soder, Brent M.D. General Surgery RoseburgOR premium
1538543012 Nix, Jenni M.D. General Surgery RoseburgOR premium
1952852568 Griffin, Samantha FNP Nurse Practitioner RoseburgOR premium
1649252008 Spence, Christopher MD General Surgery RoseburgOR premium
1982088464 Spencer, Alex M.D. General Surgery Coos BayOR premium
1598797664 Middlekauff, George MD Psychiatry RoseburgOR premium
1669945705 James, Andrea FNP Nurse Practitioner Los AngelesCA premium
1841780186 Armstrong, Emily · member of 2 groups MD Ophthalmology RoseburgOR premium
1659530442 Bryan, Kadi-Ann · member of 3 groups MD Urology CorvallisOR premium
1619169596 Cevik, Cihan · member of 4 groups MD Interventional Cardiology Colorado SpringsCO premium
1972571024 Chandran, Rubin · member of 5 groups MD Nephrology HillsboroOR premium
1780707174 Dale, Wheeler · member of 2 groups M.D. Internal Medicine EvansvilleIN premium
1760666499 Dong, Steve · member of 5 groups M.D. Urology San BernardinoCA premium
1164406211 Hansen, Bret · member of 2 groups MD General Surgery RoseburgOR premium
1023190469 Khan, Supriya · member of 5 groups MD Nephrology PortlandOR premium
1881794352 Koppie, Theresa · member of 2 groups MD Urology PortlandOR premium
1255536181 Kuriakose, Cyril · member of 9 groups MD Nephrology TualatinOR premium
1235154212 Mcglade, Charles · member of 2 groups MD Diagnostic Radiology SpringfieldOR premium
1972168219 Mehrazar, Kourosh · member of 2 groups MD Psychiatry RoseburgOR premium
1588618250 Michaels, Andrew · member of 6 groups M.D. Interventional Cardiology NampaID premium
1922596139 Safavian, Dana · member of 2 groups MD Interventional Radiology RoseburgOR premium
1225022320 Shamshad, Faisal · member of 4 groups MD Interventional Cardiology DoverNH premium
1053543967 Tovey, Micah · member of 2 groups DPM Podiatry RoseburgOR premium
1346920980 Van Volkenburg, Lexa · member of 2 groups OD Optometry RoseburgOR premium
1093893554 Vasdev, Surinder · member of 2 groups MD Gastroenterology CorvallisOR premium
1093166191 Willoughby, Alexander · member of 2 groups Ophthalmology RoseburgOR premium

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.