EMILY AXELROD PA-C
NPI 1376165134
Physician Assistant in Portland, OR

Q: What is Emily Axelrod's NPI number?

The NPI number for Emily Axelrod is 1376165134. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Q: What is Emily Axelrod'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 Emily Axelrod was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 14, 2020PECOS EnrolledAccepts Medicare Assignment

9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-3194 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, May 9, 2022, May 14, 2020 (3 updates tracked since 2020).

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About Emily Axelrod Pa-c NPPES

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

EMILY AXELROD PA-C (NPI 1376165134) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA214407) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376165134

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMILY AXELRODCredential: PA-C

Location Address9205 SW BARNES RDPortland, OR 97225-6603

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 216-3194

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 14, 2020

Last NPPES UpdateJune 8, 20233 updates tracked since enumeration

NPPES CertifiedMay 9, 2022

✔ NPI 1376165134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in OR · PA214407✔ Licensed in MA · PA7898

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.

9205 SW BARNES RD, Portland, OR 97225

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Secondary Practice Locations 2

Location 119648 Wildwood DrWest Linn, OR 97068-2210 · Phone (503) 984-2748

Location 241 Mall RdBurlington, MA 01805-2210 · Phone (781) 744-8000

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

Emily Axelrod 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 ID8820406630

PECOS Enrollment IDI20230424000629

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 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

213 services105 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380004

Location9205 SW Barnes RoadPortland, OR 97225 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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.

DR. VICTOR NGUYEN PHAM M.D.

Hospitalist