KATY KWAN PA-C
NPI 1245569151
Physician Assistant in Clackamas, OR

Q: What is Katy Kwan's NPI number?

The NPI number for Katy Kwan is 1245569151. It was assigned to this individual provider in the NPPES registry on December 24, 2009.

Q: What is Katy Kwan's specialty?

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

Q: Is Katy Kwan enrolled in Medicare?

No. Katy Kwan has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Katy Kwan was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 24, 2009Opted out of Medicare · through Apr 1, 2027

8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 97015(503) 659-1694(503) 659-8984 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Katy Kwan Pa-c NPPES

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

KATY KWAN PA-C (NPI 1245569151) is an individual physician assistant in Clackamas, Oregon, licensed in Oregon (PA150450) and active in the NPI registry since December 2009. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1245569151

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATY KWANCredential: PA-C

Location Address8645 SE SUNNYBROOK BLVD STE 200Clackamas, OR 97015-6841

Mailing Address8645 Se Sunnybrook Blvd Ste 200Clackamas, OR 97015-6841 · (503) 659-1694

Phone(503) 659-1694

Fax(503) 659-8984

Sole ProprietorNo

Enumeration DateDecember 24, 2009

Last NPPES UpdateApril 16, 2020

NPPES CertifiedApril 16, 2020

✔ NPI 1245569151 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 · PA150450

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.

8645 SE SUNNYBROOK BLVD STE 200, Clackamas, OR 97015

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katy Kwan Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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 18

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

MEGAN JENSEN FNP-C

Nurse Practitioner (Family)