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MR. SATCHEL HARRY PA-C
NPI 1235687013
Physician Assistant in Portland, OR

Active since September 21, 2016PECOS EnrolledAccepts Medicare Assignment
90.17/100
CMS Quality Rating
417 SW 117TH AVE FL 2, PORTLAND, OR 97225(503) 216-8980 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Sep 22, 2020, Sep 21, 2016 (3 updates tracked since 2016).

About Mr. Satchel Harry Pa-c NPPES

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

MR. SATCHEL HARRY PA-C (NPI 1235687013) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA179787) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1235687013
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SATCHEL HARRYCredential: PA-C
Location Address417 SW 117TH AVE FL 2Portland, OR 97225-5924
Mailing Address417 Sw 117th Ave Fl 2Portland, OR 97225-5924 · (503) 216-8980
Phone(503) 216-8980
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 21, 2016
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1235687013 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 · PA179787
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 179787 (OR)
417 SW 117TH AVE FL 2, Portland, OR 97225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., 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 and accepts Medicare assignment

Mr. Satchel Harry 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 ID1153609318
PECOS Enrollment IDI20161024001365
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.
54 services44 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.
33 services31 patients

Hospital Affiliations CMS Care Compare

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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.

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.

90.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.39
Promoting Interoperability100
Improvement Activities40
Cost66.59

Other Providers at the Same Location NPPES

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

LISA ANN SEUNG PA-C
Physician Assistant
417 SW 117TH AVE FL 2
PORTLAND, OR 97225
Washington County (503) 216-8980

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 Satchel Harry's NPI number?

The NPI number for Satchel Harry is 1235687013. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Where is Satchel Harry located?

Satchel Harry practices at 417 SW 117th Ave Fl 2, Portland, OR 97225. The listed phone number is (503) 216-8980.

What is Satchel Harry's specialty?

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

Is Satchel Harry enrolled in Medicare?

Yes. Satchel Harry 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 Satchel Harry accept?

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

According to CMS data, Satchel Harry is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Satchel Harry was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.