MRS. CRYSTAL MARIE RODRIGUEZ PA-C
NPI 1780136242
Physician Assistant in Corvallis, OR

Q: What is Crystal Rodriguez's NPI number?

The NPI number for Crystal Rodriguez is 1780136242. It was assigned to this individual provider in the NPPES registry on November 1, 2016. The provider is also known as Crystal Marie Gleisner Pa-C.

Q: What is Crystal Rodriguez'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 Crystal Rodriguez was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 01, 2016PECOS EnrolledAccepts Medicare Assignment

91.4/100

CMS Quality Rating

5234 SW PHILOMATH BLVD, CORVALLIS, OR 97333(541) 768-4970 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2023, Mar 24, 2021, Mar 25, 2017 and 1 more (4 updates tracked since 2016).

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About Mrs. Crystal Marie Rodriguez Pa-c NPPES

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

MRS. CRYSTAL MARIE RODRIGUEZ PA-C (NPI 1780136242) is an individual physician assistant in Corvallis, Oregon and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1780136242

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. CRYSTAL MARIE RODRIGUEZCredential: PA-C

Location Address5234 SW PHILOMATH BLVDCorvallis, OR 97333-1042

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 768-4970

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 2016

Enumeration DateNovember 1, 2016

Last NPPES UpdateMarch 17, 20234 updates tracked since enumeration

NPPES CertifiedMarch 17, 2023

✔ NPI 1780136242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

5234 SW PHILOMATH BLVD, Corvallis, OR 97333

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Other Names 1

Former Name (1)Crystal Marie Gleisner Pa-c

Secondary Practice Location 1

Location 15050 NE Hoyt St, Suite 240Portland, OR 97213-2991 · Phone (503) 215-6469

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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

Mrs. Crystal Marie Rodriguez 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 ID4789965849

PECOS Enrollment IDI20170103001432

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 4

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.

121 services118 patients

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.

30 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 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.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381323

Location525 N Santiam HighwayLebanon, OR 97355 · Linn County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97333 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

91.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.63

Promoting Interoperability

100

Improvement Activities

Cost

68.32

Other Providers at the Same Location NPPES 16

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

DR. BRENT C. WESENBERG MD

Emergency Medicine