GARRETT WILSON PA
NPI 1649716267
Physician Assistant in Portland, OR

Q: What is Garrett Wilson's NPI number?

The NPI number for Garrett Wilson is 1649716267. It was assigned to this individual provider in the NPPES registry on January 7, 2017.

Q: What is Garrett Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Garrett Wilson was last updated on March 25, 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.

Active since January 07, 2017PECOS EnrolledAccepts Medicare Assignment

87.76/100

CMS Quality Rating

4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213(503) 215-2300 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2021, Oct 26, 2018, Jan 7, 2017 (3 updates tracked since 2017).

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About Garrett Wilson Pa NPPES

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

GARRETT WILSON PA (NPI 1649716267) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA180901) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649716267

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGARRETT WILSONCredential: PA

Location Address4805 NE GLISAN ST STE 11NPortland, OR 97213-2933

Mailing AddressPo Box 3158Portland, OR 97208-3158

Phone(503) 215-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 7, 2017

Last NPPES UpdateMarch 25, 20213 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1649716267 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 · PA180901

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.

4805 NE GLISAN ST STE 11N, Portland, OR 97213

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Other Identifiers 1

Medicaid500731071OR

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

Garrett Wilson 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 ID2264701200

PECOS Enrollment IDI20170706001110

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 3

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.

34 services31 patients

Removal of lymph nodes of chest cavity using an endoscope 32674

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.

17 services17 patients

Initial removal of wedge of lung tissue using an endoscope 32666

This procedure involves the use of an endoscope, a thin tube with a light and camera, to view and remove a small wedge of lung tissue. It's performed to diagnose or treat lung conditions. The process is minimally invasive, reducing recovery time.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380037

Location1001 Providence DriveNewberg, OR 97132 · Yamhill County

Emergency services Birthing friendly

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

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR

OwnershipVoluntary non-profit - Church

CMS Certification Number381303

Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County

Emergency services Birthing friendly

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381318

Location810 12th StreetHood River, OR 97031 · Hood River 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

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Cost

74.03

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.

PROVIDENCE HEALTH & SERVICES - OREGON

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