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MR. ANDREW ROBERT JOHNSON MPAS, PA-C
NPI 1508069980
Physician Assistant in Portland, OR

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
91.58/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD # L-605, PORTLAND, OR 97239(503) 494-2265(503) 494-7664 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Andrew Robert Johnson Mpas, Pa-c NPPES

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

MR. ANDREW ROBERT JOHNSON MPAS, PA-C (NPI 1508069980) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA01300) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1508069980
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ANDREW ROBERT JOHNSONCredential: MPAS, PA-C
Location Address3181 SW SAM JACKSON PARK RD # L-605Portland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park Rd # L-605Portland, OR 97239-3011 · (503) 494-2265 · Fax (503) 494-7664
Phone(503) 494-2265
Fax(503) 494-7664
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 6, 2007
Last NPPES UpdateMay 4, 2015
✔ NPI 1508069980 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 · PA01300
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.
3181 SW SAM JACKSON PARK RD # L-605, Portland, OR 97239
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Other Identifiers 1

Other1508069980OR · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Andrew Robert Johnson Mpas, 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 ID6002977006
PECOS Enrollment IDI20081209000755
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
80 services76 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
30 services15 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
29 services27 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
28 services25 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
13 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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.

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.

91.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.14
Improvement Activities40
Cost78.74

Other Providers at the Same Location NPPES

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

KHASHAYAR FARSAD M.D.
Radiology (Vascular & Interventional Radiology)
3181 SW SAM JACKSON PARK RD # L-605
PORTLAND, OR 97239
Multnomah County (503) 494-7660

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 Andrew Johnson's NPI number?

The NPI number for Andrew Johnson is 1508069980. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Andrew Johnson located?

Andrew Johnson practices at 3181 SW Sam Jackson Park Rd # L-605, Portland, OR 97239. The listed phone number is (503) 494-2265.

What is Andrew Johnson's specialty?

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

Is Andrew Johnson enrolled in Medicare?

Yes. Andrew 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 Andrew Johnson accept?

Health plans from Providence Health Plan list Andrew 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 Andrew Johnson affiliated with any hospitals?

According to CMS data, Andrew Johnson is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Johnson was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.