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MRS. MELISSA D PENG PA
NPI 1508876483
Physician Assistant in Tigard, OR

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
9735 SW SHADY LN, SUTIE 100, TIGARD, OR 97223(503) 639-2800(503) 639-4044 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melissa D Peng Pa NPPES

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

MRS. MELISSA D PENG PA (NPI 1508876483) is an individual physician assistant in Tigard, Oregon, licensed in Oregon (PA00703) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1508876483
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MELISSA D PENGCredential: PA
Location Address9735 SW SHADY LN, SUTIE 100Tigard, OR 97223-5481
Mailing Address9735 Sw Shady Ln, Suite 100Tigard, OR 97223-5481 · (503) 639-2800 · Fax (503) 639-4044
Phone(503) 639-2800
Fax(503) 639-4044
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 9, 2006
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1508876483 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 · PA00703
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.
9735 SW SHADY LN, Tigard, OR 97223
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Other Names 1

Former Name (1)Ms. Melissa D Cross-peng Pa

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

Mrs. Melissa D Peng Pa 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 ID4183864135
PECOS Enrollment IDI20130716000057
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 8

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 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.
161 services146 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
53 services49 patients
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.
35 services35 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
31 services29 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
20 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
19 services19 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 97223 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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 19

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

TESSA MICHELE POTTER
Counselor (Professional)
9735 SW SHADY LN
TIGARD, OR 97223
Washington County (971) 233-2702
THOMAS FREEDLAND, DC
Chiropractor
9735 SW SHADY LN, SUITE 303
TIGARD, OR 97223
Washington County (503) 684-1273
DOCTOR'S FAMILY CLINIC & IMMEDIATE CARE
Clinic/Center (Primary Care)
9735 SW SHADY LN, SUITE 100
TIGARD, OR 97223
Washington County (503) 639-2800
DR. BENJAMIN JOSEPH SCHWARTZ MD
Family Medicine
9735 SW SHADY LN, SUITE 100
TIGARD, OR 97223
Washington County (503) 639-2800
BRIAN D. DENEKAS M.D.
Psychiatry & Neurology (Neurology)
9735 SW SHADY LN, SUITE 201
TIGARD, OR 97223
Washington County (503) 620-6625
MS. MARY M GRUEN PT
Physical Therapist
9735 SW SHADY LN, SUITE 100
TIGARD, OR 97223
Washington County (503) 639-2800
WYEAST ACUPUNCTURE AND WELLNESS LLC
Acupuncturist
9735 SW SHADY LN, SUITE 306
TIGARD, OR 97223
Washington County (503) 343-9828
DR. GREGORY JOSEPH KLUTHE DPT
Physical Therapist
9735 SW SHADY LN
TIGARD, OR 97223
Washington County (503) 223-1856

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 Melissa Peng's NPI number?

The NPI number for Melissa Peng is 1508876483. It was assigned to this individual provider in the NPPES registry on August 9, 2006. The provider is also known as Ms. Melissa D Cross-Peng PA.

Where is Melissa Peng located?

Melissa Peng practices at 9735 SW Shady Ln Sutie 100, Tigard, OR 97223. The listed phone number is (503) 639-2800.

What is Melissa Peng's specialty?

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

Is Melissa Peng enrolled in Medicare?

Yes. Melissa Peng 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 Melissa Peng affiliated with any hospitals?

According to CMS data, Melissa Peng is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Peng was last updated on June 21, 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.