IVAN A WANG PA-C
NPI 1598042764
Physician Assistant in Portland, OR

Active since November 15, 2011PECOS EnrolledAccepts Medicare Assignment
5100 SW MACADAM AVE STE 200, PORTLAND, OR 97239(971) 202-5500(971) 202-5555 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivan A Wang Pa-c NPPES

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

IVAN A WANG PA-C (NPI 1598042764) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA155662) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1598042764
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameIVAN A WANGCredential: PA-C
Location Address5100 SW MACADAM AVE STE 200Portland, OR 97239-3827
Mailing Address2935 Sw Cedar Hills BlvdBeaverton, OR 97005-1342 · (503) 352-6092 · Fax (503) 352-6080
Fax(971) 202-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 15, 2011
Last NPPES UpdateFebruary 8, 2018
NPI 1598042764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA155662
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
5100 SW MACADAM AVE STE 200, Portland, OR 97239

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

Ivan A Wang 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 ID3577709427
PECOS Enrollment IDI20130418000559
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.

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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
5100 SW MACADAM AVE STE 200, SUITE 60
PORTLAND, OR 97239
Hospice Care, Community Based
5100 SW MACADAM AVE STE 200
PORTLAND, OR 97239
Nurse Practitioner (Psychiatric/Mental Health)
5100 SW MACADAM AVE STE 200
PORTLAND, OR 97239

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 Ivan Wang's NPI number?

The NPI number for Ivan Wang is 1598042764. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Where is Ivan Wang located?

Ivan Wang practices at 5100 SW Macadam Ave Ste 200, Portland, OR 97239. The listed phone number is (971) 202-5500.

What is Ivan Wang's specialty?

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

Is Ivan Wang enrolled in Medicare?

Yes. Ivan Wang 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 Ivan Wang accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Ivan Wang 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.

When was this NPI record last updated?

The NPPES record for Ivan Wang was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.