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BRANDY SHAY PESTKA
NPI 1174883102
Physician Assistant in Portland, OR

Active since May 23, 2012PECOS Enrolled
5555 N CHANNEL AVE, BLD. 72, PORTLAND, OR 97217(503) 228-0295 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandy Shay Pestka NPPES

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

BRANDY SHAY PESTKA (NPI 1174883102) is an individual physician assistant in Portland, Oregon and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174883102
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRANDY SHAY PESTKA
Location Address5555 N CHANNEL AVE, BLD. 72Portland, OR 97217-7655
Mailing Address5555 N Channel Ave, Bld. 72Portland, OR 97217-7655 · (503) 228-0295
Phone(503) 228-0295
Sole ProprietorNo
Enumeration DateMay 23, 2012
Last NPPES UpdateJanuary 21, 2015
✔ NPI 1174883102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
5555 N CHANNEL AVE, Portland, OR 97217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandy Shay Pestka 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97217 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

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

BRIAN JACOB GOMEZ IDC, USN
Military Health Care Provider (Independent Duty Corpsman)
5555 N CHANNEL AVE
PORTLAND, OR 97217
Multnomah County (619) 545-0475

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 Brandy Pestka's NPI number?

The NPI number for Brandy Pestka is 1174883102. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Brandy Pestka located?

Brandy Pestka practices at 5555 N Channel Ave Bld. 72, Portland, OR 97217. The listed phone number is (503) 228-0295.

What is Brandy Pestka's specialty?

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

Is Brandy Pestka enrolled in Medicare?

Yes. Brandy Pestka is registered in the Medicare PECOS enrollment system.

What insurance does Brandy Pestka accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Brandy Pestka 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.

When was this NPI record last updated?

The NPPES record for Brandy Pestka was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.