LAWANDA LYNN DIMMLER SR. PA-C
NPI 1528031812
Physician Assistant in Portland, OR

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
5050 NE HOYT ST STE 610, PORTLAND, OR 97213(503) 467-4761 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2021, Jun 26, 2020 (2 updates tracked since 2020).

About Lawanda Lynn Dimmler Sr. Pa-c NPPES

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

LAWANDA LYNN DIMMLER SR. PA-C (NPI 1528031812) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA01198) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1528031812
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAWANDA LYNN DIMMLER SR.Credential: PA-C
Location Address5050 NE HOYT ST STE 610Portland, OR 97213-2985
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1528031812 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 · PA01198
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.
5050 NE HOYT ST STE 610, Portland, OR 97213

Secondary Practice Location 1

Location 19155 SW Barnes Rd, Suite 440Portland, OR 97225-6625 · Phone (503) 297-3766 · Fax (503) 297-8148

Other Identifiers 2

Medicaid500606835OR
Medicaid1528031812WA

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

Lawanda Lynn Dimmler Sr. 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 ID1355394206
PECOS Enrollment IDI20070312000413
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.

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 97213 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 11

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

Surgery
5050 NE HOYT ST STE 610
PORTLAND, OR 97213
Physician Assistant
5050 NE HOYT ST STE 610
PORTLAND, OR 97213
Surgery
5050 NE HOYT ST STE 610
PORTLAND, OR 97213
Physician Assistant
5050 NE HOYT ST STE 610
PORTLAND, OR 97213
Physician Assistant
5050 NE HOYT ST STE 610
PORTLAND, OR 97213
Surgery
5050 NE HOYT ST STE 610
PORTLAND, OR 97213
Nurse Practitioner (Gerontology)
5050 NE HOYT ST STE 610
PORTLAND, OR 97213
Physician Assistant
5050 NE HOYT ST STE 610
PORTLAND, OR 97213

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 Lawanda Dimmler's NPI number?

The NPI number for Lawanda Dimmler is 1528031812. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Lawanda Dimmler located?

Lawanda Dimmler practices at 5050 NE Hoyt St Ste 610, Portland, OR 97213. The listed phone number is (503) 467-4761.

What is Lawanda Dimmler's specialty?

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

Is Lawanda Dimmler enrolled in Medicare?

Yes. Lawanda Dimmler 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 Lawanda Dimmler accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lawanda Dimmler 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 Lawanda Dimmler affiliated with any hospitals?

According to CMS data, Lawanda Dimmler is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Lawanda Dimmler was last updated on March 9, 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.