GAYLE JOHNSON
NPI 1437629383
Physician Assistant - Surgical in Tigard, OR

Active since December 04, 2018PECOS EnrolledAccepts Medicare Assignment
12123 SW 69TH AVE, TIGARD, OR 97223(971) 708-7600 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2021, Dec 4, 2018 (2 updates tracked since 2018).

About Gayle Johnson NPPES

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

GAYLE JOHNSON (NPI 1437629383) is an individual surgical provider in Tigard, Oregon and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437629383
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameGAYLE JOHNSON
Location Address12123 SW 69TH AVETigard, OR 97223-8514
Mailing Address1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 4, 2018
Last NPPES UpdateApril 2, 20212 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
NPI 1437629383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
12123 SW 69TH AVE, Tigard, OR 97223

Accepted 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

Gayle Johnson 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 ID8628485471
PECOS Enrollment IDI20210324000687, I20210601001898
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.

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.
20 services19 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.
14 services14 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

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.

Physical Therapist
12123 SW 69TH AVE
TIGARD, OR 97223
Physician Assistant (Surgical)
12123 SW 69TH AVE
TIGARD, OR 97223
Radiology (Radiation Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Internal Medicine
12123 SW 69TH AVE
TIGARD, OR 97223
Surgery (Surgical Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Nurse Practitioner
12123 SW 69TH AVE
TIGARD, OR 97223
Obstetrics & Gynecology (Gynecologic Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Internal Medicine (Hematology & Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223

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 Gayle Johnson's NPI number?

The NPI number for Gayle Johnson is 1437629383. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Where is Gayle Johnson located?

Gayle Johnson practices at 12123 SW 69th Ave, Tigard, OR 97223. The listed phone number is (971) 708-7600.

What is Gayle Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Gayle Johnson enrolled in Medicare?

Yes. Gayle Johnson 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 Gayle Johnson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Gayle Johnson 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.

Is Gayle Johnson affiliated with any hospitals?

According to CMS data, Gayle Johnson is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Gayle Johnson was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.