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CRAIG DALE
NPI 1023496965
Physician Assistant in Lakeside, OR

Active since May 12, 2015PECOS Enrolled
441 N TENMILE LK, LAKESIDE, OR 97449(719) 239-1403 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2022, Sep 10, 2018, Oct 18, 2016 and 1 more (4 updates tracked since 2016).

About Craig Dale NPPES

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

CRAIG DALE (NPI 1023496965) is an individual physician assistant in Lakeside, Oregon, licensed in Idaho (PA1619) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023496965
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCRAIG DALE
Location Address441 N TENMILE LKLakeside, OR 97449-8648
Mailing Address441 N Tenmile LkLakeside, OR 97449-8648 · (719) 239-1403
Phone(719) 239-1403
Sole ProprietorYes
Enumeration DateMay 12, 2015
Last NPPES UpdateFebruary 17, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1023496965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in ID · PA1619✔ Licensed in OR · PA179589✔ Licensed in WA · PA60843540
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.
441 N TENMILE LK, Lakeside, OR 97449
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Other Names 1

Professional Name (2)Craig Dale Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig Dale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
199 services193 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
140 services140 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
84 services81 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97449 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Dale's NPI number?

The NPI number for Craig Dale is 1023496965. It was assigned to this individual provider in the NPPES registry on May 12, 2015. The provider is also known as Craig Dale Pa-C.

Where is Craig Dale located?

Craig Dale practices at 441 N Tenmile Lk, Lakeside, OR 97449. The listed phone number is (719) 239-1403.

What is Craig Dale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Craig Dale enrolled in Medicare?

Yes. Craig Dale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Craig Dale was last updated on February 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.