FOREST GAUTHIER
NPI 1255165643
Physician Assistant in Portland, OR

Q: What is Forest Gauthier's NPI number?

The NPI number for Forest Gauthier is 1255165643. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Q: What is Forest Gauthier's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Forest Gauthier was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 28, 2024PECOS EnrolledAccepts Medicare Assignment

12121 E BURNSIDE ST, PORTLAND, OR 97216(971) 361-7700 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Forest Gauthier NPPES

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

FOREST GAUTHIER (NPI 1255165643) is an individual physician assistant in Portland, Oregon and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of University Of Washington School Of Medicine (2024).

NPPES Registry Identity

NPI1255165643

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameFOREST GAUTHIER

Location Address12121 E BURNSIDE STPortland, OR 97216-3737

Mailing Address232 Nw 6th AvePortland, OR 97209-3609

Phone(971) 361-7700

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2024

Enumeration DateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1255165643 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.

12121 E BURNSIDE ST, Portland, OR 97216

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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 and accepts Medicare assignment

Forest Gauthier 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 ID1153853551

PECOS Enrollment IDI20250917002300

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.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380025

Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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 20

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

A'LISSA RICHARDS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)