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KYLE TANG PA-C
NPI 1295603157
Physician Assistant in Lake Oswego, OR

Active since October 23, 2025PECOS EnrolledAccepts Medicare Assignment
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035(503) 850-9940 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Tang Pa-c NPPES

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

KYLE TANG PA-C (NPI 1295603157) is an individual physician assistant in Lake Oswego, Oregon, licensed in Oregon (PA227148) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295603157
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE TANGCredential: PA-C
Location Address4103 MERCANTILE DRLake Oswego, OR 97035-2556
Mailing Address4103 Mercantile DrLake Oswego, OR 97035-2556 · (503) 850-9940
Phone(503) 850-9940
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1295603157 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 · PA227148
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.
4103 MERCANTILE DR, Lake Oswego, OR 97035
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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

Kyle Tang 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 ID345725792
PECOS Enrollment IDI20260402002636
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 Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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.

MISS AMANDA MAGDALENA KINDER FNP-C
Nurse Practitioner (Family)
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
STEPHEN J WALLACE MD PC
Orthopaedic Surgery (Orthopaedic Trauma)
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
GO TO ORTHO LLC
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9950
DR. STEVEN M MADEY MD
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
DR. ALBERT CHAFFIN M.D.
Pediatrics
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-4508
COREY VANDE ZANDSCHULP MD PC
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
MR. ANTHONY LANCE JOHNSON PA-C
Physician Assistant
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
SAMANTHA ARCEDIANO PA-C
Physician Assistant
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940

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 Kyle Tang's NPI number?

The NPI number for Kyle Tang is 1295603157. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Where is Kyle Tang located?

Kyle Tang practices at 4103 Mercantile Dr, Lake Oswego, OR 97035. The listed phone number is (503) 850-9940.

What is Kyle Tang's specialty?

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

Is Kyle Tang enrolled in Medicare?

Yes. Kyle Tang 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.

Is Kyle Tang affiliated with any hospitals?

According to CMS data, Kyle Tang is affiliated with Legacy Emanuel Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Tang was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.