ANDREW DAVID BODMER PA-C
NPI 1083860548
Physician Assistant in Tigard, OR

Active since August 14, 2008PECOS EnrolledAccepts Medicare Assignment
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224(503) 216-0700 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew David Bodmer Pa-c NPPES

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

ANDREW DAVID BODMER PA-C (NPI 1083860548) is an individual physician assistant in Tigard, Oregon, licensed in Oregon (PA161375) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083860548
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW DAVID BODMERCredential: PA-C
Location Address18040 SW LOWER BOONES FERRY RD, SUITE 100Tigard, OR 97224-7259
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 14, 2008
Last NPPES UpdateOctober 5, 2020
NPPES CertifiedOctober 5, 2020
NPI 1083860548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA161375
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License T-4239 (AZ)
18040 SW LOWER BOONES FERRY RD, Tigard, OR 97224

Other Identifiers 1

Medicaid500655799OR

Accepted Insurance

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

Andrew David Bodmer 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 ID4284701301
PECOS Enrollment IDI20130416000690
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.

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.
160 services156 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
39 services39 patients
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.
24 services22 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97224 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims47 services$4.29 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 20

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

Clinic/Center
18040 SW LOWER BOONES FERRY RD, SUITE 104
PORTLAND, OR 97224
Physician Assistant
18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224
Family Medicine
18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224
Family Medicine
18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224
Clinic/Center
18040 SW LOWER BOONES FERRY RD, SUITE 207
TIGARD, OR 97224
Family Medicine
18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224
Pharmacist
18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224
Dermatology
18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224

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 Andrew Bodmer's NPI number?

The NPI number for Andrew Bodmer is 1083860548. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Where is Andrew Bodmer located?

Andrew Bodmer practices at 18040 SW Lower Boones Ferry Rd Suite 100, Tigard, OR 97224. The listed phone number is (503) 216-0700.

What is Andrew Bodmer's specialty?

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

Is Andrew Bodmer enrolled in Medicare?

Yes. Andrew Bodmer 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.

What insurance does Andrew Bodmer accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Andrew Bodmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Bodmer affiliated with any hospitals?

According to CMS data, Andrew Bodmer is affiliated with Providence St Vincent Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Bodmer was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.