MR. ANTHONY LANCE JOHNSON PA-C
NPI 1174136725
Physician Assistant in Lake Oswego, OR

Active since August 24, 2020PECOS EnrolledAccepts Medicare Assignment
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035(503) 850-9940(503) 850-6709 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 8, 2022, Aug 25, 2020 (2 updates tracked since 2020).

About Mr. Anthony Lance Johnson Pa-c NPPES

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

MR. ANTHONY LANCE JOHNSON PA-C (NPI 1174136725) is an individual physician assistant in Lake Oswego, Oregon, licensed in Oregon (PA208077) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174136725
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ANTHONY LANCE JOHNSONCredential: PA-C
Location Address4103 MERCANTILE DRLake Oswego, OR 97035-2556
Mailing Address4103 Mercantile DrLake Oswego, OR 97035-2556 · (503) 850-9940 · Fax (503) 850-6709
Fax(503) 850-6709
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2020
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
NPI 1174136725 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 · PA208077
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.

4103 MERCANTILE DR, Lake Oswego, OR 97035

Secondary Practice Locations 2

Location 14311 11th Ave NE Ste 200Seattle, WA 98105-6367 · Phone (206) 616-4001
Location 25302 NE 72nd Ave Apt N143Vancouver, WA 98661-3573 · Phone (253) 223-0231

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

Mr. Anthony Lance Johnson 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 ID6204229255
PECOS Enrollment IDI20220215001614
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
16 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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.

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.

Pediatrics
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174136725, enumerated as an "individual" on August 24, 2020.

The provider is located at 4103 MERCANTILE DR LAKE OSWEGO, OR 97035 and the phone number is (503) 850-9940.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.

Anthony Johnson is affiliated with: LEGACY EMANUEL MEDICAL CENTER.