SEJAL ASHWIN PATEL PA-C
NPI 1013225226
Physician Assistant in Portland, OR

Active since September 22, 2010PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
4805 NE GLISAN ST STE 6N40, PORTLAND, OR 97213(503) 215-6601 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2023, Oct 2, 2020, Aug 6, 2018 and 1 more (4 updates tracked since 2016).

About Sejal Ashwin Patel Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEJAL ASHWIN PATEL PA-C (NPI 1013225226) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA196262) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2007).

NPPES Registry Identity

NPI1013225226
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSEJAL ASHWIN PATELCredential: PA-C
Location Address4805 NE GLISAN ST STE 6N40Portland, OR 97213-2933
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2007
Enumeration DateSeptember 22, 2010
Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1013225226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA196262
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4805 NE GLISAN ST STE 6N40, Portland, OR 97213

Other Identifiers 1

Medicaid2039130WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sejal Ashwin Patel Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820282965
PECOS Enrollment IDI20200114002340
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services63 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
85 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services42 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers18 claims1,760 services$6.90 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers194 claims194 services$181.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213
Nurse Practitioner (Family)
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213
Internal Medicine (Hematology)
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213
Nurse Practitioner (Family)
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213
Dietitian, Registered
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213
Dietitian, Registered
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013225226, enumerated as an "individual" on September 22, 2010.

The provider is located at 4805 NE GLISAN ST STE 6N40 PORTLAND, OR 97213 and the phone number is (503) 215-6601.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.