JEFFREY ALLAN KOLLER PA-C
NPI 1215790639
Physician Assistant in Sublimity, OR

Active since January 31, 2024PECOS EnrolledAccepts Medicare Assignment
114 SE CHURCH ST, SUBLIMITY, OR 97385(503) 769-2259 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey Allan Koller Pa-c NPPES

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

JEFFREY ALLAN KOLLER PA-C (NPI 1215790639) is an individual physician assistant in Sublimity, Oregon, licensed in Oregon (PA218511) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Santiam Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215790639
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFREY ALLAN KOLLERCredential: PA-C
Location Address114 SE CHURCH STSublimity, OR 97385-9424
Mailing Address114 Se Church StSublimity, OR 97385-9424 · (503) 769-2259
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 31, 2024
Last NPPES UpdateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
NPI 1215790639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA218511
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.

114 SE CHURCH ST, Sublimity, OR 97385

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

Jeffrey Allan Koller 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 ID749629681
PECOS Enrollment IDI20240411003577
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.

Hospital Affiliations CMS Care Compare

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

Santiam Hospital

Acute Care Hospitals · Stayton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380056
Location1401 N 10th AvenueStayton, OR 97383 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97385 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 8

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

Clinic/Center (Rural Health)
114 SE CHURCH ST
SUBLIMITY, OR 97385
Clinic/Center (Primary Care)
114 SE CHURCH ST
SUBLIMITY, OR 97385
Physician Assistant
114 SE CHURCH ST
SUBLIMITY, OR 97385
Family Medicine
114 SE CHURCH ST
SUBLIMITY, OR 97385
Physician Assistant
114 SE CHURCH ST
SUBLIMITY, OR 97385
Family Medicine
114 SE CHURCH ST
SUBLIMITY, OR 97385
Community Health Worker
114 SE CHURCH ST
SUBLIMITY, OR 97385
Nurse Practitioner (Family)
114 SE CHURCH ST
SUBLIMITY, OR 97385

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 Jeffrey Koller's NPI number?

The NPI number for Jeffrey Koller is 1215790639. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Jeffrey Koller located?

Jeffrey Koller practices at 114 SE Church St, Sublimity, OR 97385. The listed phone number is (503) 769-2259.

What is Jeffrey Koller's specialty?

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

Is Jeffrey Koller enrolled in Medicare?

Yes. Jeffrey Koller 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 Jeffrey Koller accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente and Regence BlueCross BlueShield of Oregon list Jeffrey Koller 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 Jeffrey Koller affiliated with any hospitals?

According to CMS data, Jeffrey Koller is affiliated with Santiam Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Koller was last updated on December 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.