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CARLEY PUTNAM PA-C
NPI 1649782699
Physician Assistant - Surgical in Portland, OR

Active since October 31, 2017PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3303 SW BOND AVE STE 5, PORTLAND, OR 97239(503) 494-6687(503) 494-1717 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2019, Oct 17, 2018, Jan 18, 2018 and 1 more (4 updates tracked since 2017).

About Carley Putnam Pa-c NPPES

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

CARLEY PUTNAM PA-C (NPI 1649782699) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA187398) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Gresham.

NPPES Registry Identity

NPI1649782699
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCARLEY PUTNAMCredential: PA-C
Location Address3303 SW BOND AVE STE 5Portland, OR 97239-4501
Mailing Address1650 Nw Naito Pkwy Ste 185Portland, OR 97209-2535 · (503) 525-7658
Phone(503) 494-6687
Fax(503) 494-1717
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 31, 2017
Last NPPES UpdateSeptember 10, 20194 updates tracked since enumeration
✔ NPI 1649782699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA187398
Also ListedPhysician AssistantTaxonomy 363A00000X
3303 SW BOND AVE STE 5, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 12850 SE Powell Valley RdGresham, OR 97080 · Phone (503) 666-5050 · Fax (503) 666-1162

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Carley Putnam 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 ID8820356637
PECOS Enrollment IDI20181031003252
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.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

MRS. LAURA WINTER DILLON PA
Physician Assistant (Surgical)
3303 SW BOND AVE STE 5
PORTLAND, OR 97239
Multnomah County (503) 494-6887
MATHEW NATE GELTZEILER M.D.
Otolaryngology
3303 SW BOND AVE STE 5
PORTLAND, OR 97239
Multnomah County (503) 494-8510
JENS URS BERLI M.D.
Plastic Surgery
3303 SW BOND AVE STE 5
PORTLAND, OR 97239
Multnomah County (503) 494-6687
MS. MICHELLE ROSE CAPPADONA
Specialist
3303 SW BOND AVE STE 5
PORTLAND, OR 97239
Multnomah County (503) 494-6687
DR. SHILIANG CHANG MD
Plastic Surgery
3303 SW BOND AVE STE 5
PORTLAND, OR 97239
Multnomah County (503) 494-6687
DR. ANGELO B LIPIRA M.D.
Plastic Surgery
3303 SW BOND AVE STE 5
PORTLAND, OR 97239
Multnomah County (503) 494-6687
DR. LORI KATHRYN HOWELL MD
Plastic Surgery
3303 SW BOND AVE STE 5
PORTLAND, OR 97239
Multnomah County (503) 494-6687

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 Carley Putnam's NPI number?

The NPI number for Carley Putnam is 1649782699. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Where is Carley Putnam located?

Carley Putnam practices at 3303 SW Bond Ave Ste 5, Portland, OR 97239. The listed phone number is (503) 494-6687.

What is Carley Putnam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Carley Putnam enrolled in Medicare?

Yes. Carley Putnam 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 Carley Putnam accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Carley Putnam 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 Carley Putnam affiliated with any hospitals?

According to CMS data, Carley Putnam is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Carley Putnam was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.