CHETHIYA WELIGODAPOLA PA-C
NPI 1154944296
Physician Assistant - Surgical in Portland, OR

Active since May 23, 2020PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3303 S BOND AVE BLDG 1, PORTLAND, OR 97239(503) 494-1700 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2022, May 23, 2020 (2 updates tracked since 2020).

About Chethiya Weligodapola Pa-c NPPES

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

CHETHIYA WELIGODAPOLA PA-C (NPI 1154944296) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA210795) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154944296
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCHETHIYA WELIGODAPOLACredential: PA-C
Location Address3303 S BOND AVE BLDG 1Portland, OR 97239-4501
Mailing Address3303 S Bond Ave Bldg 1Portland, OR 97239-4501 · (971) 285-0370
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2020
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
NPI 1154944296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OR · PA210795
3303 S BOND AVE BLDG 1, Portland, OR 97239

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

Chethiya Weligodapola 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 ID3274901244
PECOS Enrollment IDI20221122002805
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 2

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 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.
190 services169 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.
31 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380021
Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County
Emergency services Birthing friendly

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Massage Therapist
3303 S BOND AVE BLDG 1
PORTLAND, OR 97239
Dermatology
3303 S BOND AVE BLDG 1, 16TH FLOOR
PORTLAND, OR 97239
Psychiatry & Neurology (Neurology)
3303 S BOND AVE BLDG 1
PORTLAND, OR 97239
Obstetrics & Gynecology (Reproductive Endocrinology)
3303 S BOND AVE BLDG 1
PORTLAND, OR 97239
Massage Therapist
3303 S BOND AVE BLDG 1
PORTLAND, OR 97239
Massage Therapist
3303 S BOND AVE BLDG 1
PORTLAND, OR 97239

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 Chethiya Weligodapola's NPI number?

The NPI number for Chethiya Weligodapola is 1154944296. It was assigned to this individual provider in the NPPES registry on May 23, 2020.

Where is Chethiya Weligodapola located?

Chethiya Weligodapola practices at 3303 S Bond Ave Bldg 1, Portland, OR 97239. The listed phone number is (503) 494-1700.

What is Chethiya Weligodapola's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Chethiya Weligodapola enrolled in Medicare?

Yes. Chethiya Weligodapola 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 Chethiya Weligodapola accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Chethiya Weligodapola 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 Chethiya Weligodapola affiliated with any hospitals?

According to CMS data, Chethiya Weligodapola is affiliated with Ohsu Hospital And Clinics and Hillsboro Medical Center.

When was this NPI record last updated?

The NPPES record for Chethiya Weligodapola was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.