KATHLEEN RYAN PONSFORD PA-C
NPI 1053548669
Physician Assistant - Medical in Vancouver, WA

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
305 SE CHKALOV DR STE 170, VANCOUVER, WA 98683(360) 787-7135(360) 799-3913 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Ryan Ponsford Pa-c NPPES

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

KATHLEEN RYAN PONSFORD PA-C (NPI 1053548669) is an individual medical provider in Vancouver, Washington, licensed in Washington (PA60090604) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Battle Ground, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053548669
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHLEEN RYAN PONSFORDCredential: PA-C
Location Address305 SE CHKALOV DR STE 170Vancouver, WA 98683
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900 · Fax (503) 413-3710
Fax(360) 799-3913
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 22, 2009
Last NPPES UpdateJune 13, 2018
NPI 1053548669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA60090604
305 SE CHKALOV DR STE 170, Vancouver, WA 98683

Secondary Practice Location 1

Location 12005 W Main StBattle Ground, WA 98604-4311 · Phone (360) 882-2778 · Fax (360) 604-1690

Other Identifiers 1

Other0252790WA · L & I

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

Kathleen Ryan Ponsford 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 ID2365596699
PECOS Enrollment IDI20090820000284, I20230210000230
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 5

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.

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.
139 services131 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
35 services34 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
21 services21 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services13 patients

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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
305 SE CHKALOV DR STE 170
VANCOUVER, WA 98683

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 Kathleen Ponsford's NPI number?

The NPI number for Kathleen Ponsford is 1053548669. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Kathleen Ponsford located?

Kathleen Ponsford practices at 305 SE Chkalov Dr Ste 170, Vancouver, WA 98683. The listed phone number is (360) 787-7135.

What is Kathleen Ponsford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathleen Ponsford enrolled in Medicare?

Yes. Kathleen Ponsford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Ponsford was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.