MR. IAN CLEMONS PA-C
NPI 1336246479
Physician Assistant in Portland, OR

Q: What is Ian Clemons's NPI number?

The NPI number for Ian Clemons is 1336246479. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Ian Clemons'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 Ian Clemons was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 20, 2006PECOS EnrolledAccepts Medicare Assignment

3500 N INTERSTATE AVE, EMERGICENTER, PORTLAND, OR 97227(503) 331-6101 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Ian Clemons Pa-c NPPES

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

MR. IAN CLEMONS PA-C (NPI 1336246479) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA00692) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hillsboro Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1336246479

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. IAN CLEMONSCredential: PA-C

Location Address3500 N INTERSTATE AVE, EMERGICENTERPortland, OR 97227-1196

Mailing Address724 Se 27th AvePortland, OR 97214-3009 · (503) 238-5097

Phone(503) 331-6101

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336246479 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 · PA00692

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.

3500 N INTERSTATE AVE, Portland, OR 97227

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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

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ian Clemons 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 ID1759451933

PECOS Enrollment IDI20210414002866

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.

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380021

Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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.

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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.

MR. JASON JOHN POWERS M.D.

Internal Medicine (Gastroenterology)