ETHAN GLADHILL - NPI 1992587406 - Physician Assistant in Gresham, OR

Q: What is Ethan Gladhill's NPI number?

The NPI number for Ethan Gladhill is 1992587406. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Q: What is Ethan Gladhill'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 Ethan Gladhill was last updated on February 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ethan Gladhill NPPES

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

ETHAN GLADHILL (NPI 1992587406) is an individual physician assistant in Gresham, Oregon, licensed in Oregon (PA223756) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and maintains a secondary practice location in Gresham.

NPPES Registry Identity

NPI1992587406

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameETHAN GLADHILL

Location Address24988 SE STARK ST STE 220Gresham, OR 97030-8324

Mailing AddressPo Box 4365Portland, OR 97208-4365

Phone(503) 674-1580

Fax(503) 674-1581

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 18, 2023

Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2025

✔ NPI 1992587406 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 · PA223756

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.

24988 SE STARK ST STE 220, Gresham, OR 97030

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Secondary Practice Location 1

Location 124988 SE Stark St Ste 220Gresham, OR 97030 · Phone (503) 674-1580

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

Ethan Gladhill 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 ID6204357429

PECOS Enrollment IDI20250304003478

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.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380025

Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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 8

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

KATHERINE VESTAKIS

Physician Assistant