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TARA PEMBERTON PA-C
NPI 1275803462
Physician Assistant - Medical in Portland, OR

Active since January 05, 2012PECOS EnrolledAccepts Medicare Assignment
9495 SW LOCUST ST, SUITE A & E, PORTLAND, OR 97223(503) 505-5937(503) 505-5922 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Pemberton Pa-c NPPES

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

TARA PEMBERTON PA-C (NPI 1275803462) is an individual medical provider in Portland, Oregon and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1275803462
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTARA PEMBERTONCredential: PA-C
Location Address9495 SW LOCUST ST, SUITE A & EPortland, OR 97223-6683
Mailing Address9495swlocust St APortland, OR 97223-6683 · (503) 636-9011 · Fax (503) 636-3952
Phone(503) 505-5937
Fax(503) 505-5922
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 5, 2012
Last NPPES UpdateAugust 20, 2015
✔ NPI 1275803462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
9495 SW LOCUST ST, Portland, OR 97223
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Other Identifiers 3

Medicare PING8908654WA
Medicaid500643737OR
Medicare PINR164311OR

Accepted Insurance

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

Tara Pemberton 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 ID8527221225
PECOS Enrollment IDI20120611000306
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 6

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
275 services12 patients
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.
29 services28 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services14 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.
22 services13 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
13 services13 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
11 services11 patients

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.

Reported Quality Measures

Childhood Immunization Status
4%46 patients
Documentation of Current Medications in the Medical Record
97%835 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%679 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 228 patients
0%228 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 107 patients
Patients totalRate: 0% · 107 patients
0%107 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

JANNELLE MARIE FUKUJI PA-C
Physician Assistant (Medical)
9495 SW LOCUST ST, SUITE A
PORTLAND, OR 97223
Washington County (503) 696-9011
MS. ELIZABETH KAY SMITH NP
Nurse Practitioner (Family)
9495 SW LOCUST ST, SUITE A
PORTLAND, OR 97223
Washington County (503) 636-9011
MR. TIMOTHY SCOTT CARRASCO PA
Physician Assistant (Surgical)
9495 SW LOCUST ST, SUITE # A
PORTLAND, OR 97223
Washington County (503) 636-9011

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 Tara Pemberton's NPI number?

The NPI number for Tara Pemberton is 1275803462. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Tara Pemberton located?

Tara Pemberton practices at 9495 SW Locust St Suite A & E, Portland, OR 97223. The listed phone number is (503) 505-5937.

What is Tara Pemberton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tara Pemberton enrolled in Medicare?

Yes. Tara Pemberton 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 Tara Pemberton accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tara Pemberton 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.

When was this NPI record last updated?

The NPPES record for Tara Pemberton was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.