BROOKE NICOLE BUCKLAND PA-C
NPI 1851002869
Physician Assistant in Lake Oswego, OR

Q: What is Brooke Buckland's NPI number?

The NPI number for Brooke Buckland is 1851002869. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Q: What is Brooke Buckland'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 Brooke Buckland was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 December 09, 2022PECOS EnrolledAccepts Medicare Assignment

5200 MEADOWS RD STE 200, LAKE OSWEGO, OR 97035(855) 255-1750(855) 255-0905 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Brooke Nicole Buckland Pa-c NPPES

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

BROOKE NICOLE BUCKLAND PA-C (NPI 1851002869) is an individual physician assistant in Lake Oswego, Oregon, licensed in Oregon (PA217984) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Curry General Hospital, and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1851002869

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBROOKE NICOLE BUCKLANDCredential: PA-C

Location Address5200 MEADOWS RD STE 200Lake Oswego, OR 97035-0086

Mailing Address5200 Meadows Rd Ste 200Lake Oswego, OR 97035-0086 · (855) 255-1750 · Fax (855) 255-0905

Phone(855) 255-1750

Fax(855) 255-0905

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 9, 2022

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1851002869 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 · PA217984

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.

5200 MEADOWS RD STE 200, Lake Oswego, OR 97035

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Secondary Practice Location 1

Location 12900 State StMedford, OR 97504-8458 · Phone (541) 779-1672

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, 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

Brooke Nicole Buckland 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 ID3870014954

PECOS Enrollment IDI20250305001989

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.

Curry General Hospital

Critical Access Hospitals · Gold Beach, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381322

Location94220 Fourth StreetGold Beach, OR 97444 · Curry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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 11

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

LIBBY R MATTSON MSW

Social Worker