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GREGORY RANDOLPH PA-C
NPI 1780177964
Physician Assistant - Medical in Scappoose, OR

Active since June 12, 2018PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
51377 SW OLD PORTLAND RD. SUITE C, SCAPPOOSE, OR 97056(503) 418-4222 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2020, Jan 15, 2020, Jun 12, 2018 (3 updates tracked since 2018).

About Gregory Randolph Pa-c NPPES

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

GREGORY RANDOLPH PA-C (NPI 1780177964) is an individual medical provider in Scappoose, Oregon and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1780177964
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGREGORY RANDOLPHCredential: PA-C
Location Address51377 SW OLD PORTLAND RD. SUITE CScappoose, OR 97056
Mailing Address51377 Sw Old Portland Rd. Suite CScappoose, OR 97056
Phone(503) 418-4222
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2018
Last NPPES UpdateDecember 29, 20203 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1780177964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA193627 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
51377 SW OLD PORTLAND RD. SUITE C, Scappoose, OR 97056
Open in Google Maps ↗

Secondary Practice Location 1

Location 12730 SW Moody AvePortland, OR 97201-5042 · Phone (503) 494-3633

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

Gregory Randolph 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 ID1355776956
PECOS Enrollment IDI20200108001024
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 2

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.

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.
33 services26 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
16 services16 patients

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

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 Gregory Randolph's NPI number?

The NPI number for Gregory Randolph is 1780177964. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Gregory Randolph located?

Gregory Randolph practices at 51377 SW Old Portland Rd. Suite C, Scappoose, OR 97056. The listed phone number is (503) 418-4222.

What is Gregory Randolph's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gregory Randolph enrolled in Medicare?

Yes. Gregory Randolph 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 Gregory Randolph accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Gregory Randolph 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 Gregory Randolph affiliated with any hospitals?

According to CMS data, Gregory Randolph is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Gregory Randolph was last updated on December 29, 2020. 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.