GINA MARJORIE BAWDEN PAC NPI 1245414978
Physician Assistant in Gresham, OR

Individual Female Years of Experience 16 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 90.5

About GINA MARJORIE BAWDEN PAC

Gina Bawden is a primary care provider established in Gresham, Oregon and her medical specialization is Physician Assistant with more than 16 years of experience. The NPI number of Gina Bawden is 1245414978 and was assigned on December 2007. The practitioner's primary taxonomy code is 363A00000X with license number PA01337 (OR). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1245414978
Provider Name GINA MARJORIE BAWDEN PAC
Provider Location Address2850 SE POWELL VALLEY RD GRESHAM, OR 97080
Provider Mailing AddressPO BOX 3777 PORTLAND, OR 97208
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date12-17-2007
Last Update Date05-25-2016

A primary care provider (PCP) like Gina Marjorie Bawden Pac sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Gina Bawden is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Gina Bawden is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.5, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.17 for a new patient copayment and $18.91 for an established patient copayment.



Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA01337
License StateOR
Taxonomy DescriptionA 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.

Business Address

GINA MARJORIE BAWDEN PAC
2850 SE POWELL VALLEY RD
GRESHAM, OR
ZIP 97080
Phone: (503) 666-5050
Fax: (503) 666-1162

Get Directions


Mailing Address

GINA MARJORIE BAWDEN PAC
PO BOX 3777
PORTLAND, OR
ZIP 97208
Phone: (503) 413-3900
Fax: (503) 413-3710


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4880778984
PECOS Enrollment IDI20080228000153
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 97080 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$60.52 $182.22 $92.69
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.13 $45.55 $23.17
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.23 $149.48 $75.67
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.8 $37.37 $18.91

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 92.9
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 81
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 72.9
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 90.5
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 13Administration of influenza virus vaccine (HCPCS:G0008)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantPA22873CANo

Taxonomy Description: 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.

2363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
500604977MEDICAID (05)OR
8504961MEDICAID (05)WA
140621MEDICARE PIN (08)OR
147131MEDICARE PIN (08)OR

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245414978
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285818914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 1 + 8 + 9 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1245414978 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336128321URGENT CARE NW GRESHAM PC
Organization
Clinic/Center (Urgent Care)2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1255352985 AARON MICHAEL LIERE
Individual
Physician Assistant2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1366463044DR. STERLING ROBIN PIEPGRASS MD
Individual
Internal Medicine2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1043233570DR. MARK ERIC HOSKO MD
Individual
General Practice2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1649595786MR. MARC MASAYOSHI MORISHIGE PT
Individual
Physical Therapist2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1144547308MS. HEIKE K. HUCHLER
Individual
Nurse Practitioner (Family)2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1528455649VALLEY VIEW CHIROPRACTIC AND SPINE CENTER
Organization
Clinic/Center (Physical Therapy)2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 489-1998
1043617608 SOMMER VERLEY FNP-C
Individual
Nurse Practitioner2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1306082888 ERIN ELIZABETH STOCKER HIGGINS MN, FNP-BC
Individual
Nurse Practitioner (Family)2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1306256359 CORBIN MICHAEL ALLRED PA-C
Individual
Physician Assistant2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1487771721MS. BRIDGET JEAN MARICK PAC
Individual
Physician Assistant2850 SE POWELL VALLEY RD LEGACY GOHEALTH
GRESHAM, OR 97080
(503) 666-5050
1578766861 JERALD WILLIAM DRISKELL R.N., FNP-C
Individual
Nurse Practitioner2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1487030326 ALEXIS SMITHERS FNP-BC
Individual
Nurse Practitioner (Family)2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 413-5092
1174997423VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC
Organization
Preventive Medicine (Public Health & General Preventive Medicine)2850 SE POWELL VALLEY RD SUITE 205
GRESHAM, OR 97080
(503) 489-1998
1659394187DR. CHARLES MEN WONG MD
Individual
General Practice2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1265493399 SUSAN E RIVARD-DIBENEDETTO PA C
Individual
Physician Assistant2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1164772893MRS. KRISTEN G SHAFFER FNP-C
Individual
Nurse Practitioner (Family)2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1366851305 DANIEL MORGAN KOCH PA-C
Individual
Physician Assistant2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050
1902214794VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC
Organization
Chiropractor2850 SE POWELL VALLEY RD SUITE 205
GRESHAM, OR 97080
(503) 489-1998
1225481906 MACI PFAFFENBERGER PA-C
Individual
Physician Assistant (Medical)2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
(503) 666-5050

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Gina Marjorie Bawden Pac is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.