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Active NPI 1144638859 Individual Practitioner Male Practitioner

Revaz Boukia , PA-C

Physician Assistant • Ashland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Revaz Boukia, PA-C is a certified Physician Assistant practicing in Ashland, OR. With approximately 12 years of clinical experience since completing medical education in 2014, Revaz Boukia delivers high-quality medical care to the local community at 280 MAPLE ST.

Revaz Boukia is affiliated with Edwards Bell Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

280 Maple St

Ashland, OR 975201552

Telephone 5412014000
Fax 5414887437
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ashland, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +2.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Ashland, OR (2106 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boukia (12 Years) 12 Yrs
Ashland Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
131 130 $1888.00 $142.74
99284 Emergency department visit with moderate level of medical decision making
98 95 $1266.00 $98.51
99283 Emergency department visit with low level of medical decision making
23 23 $853.00 $58.01

Medical Specialties & State Licenses

CMS Verified: 2026-05-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA228829

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.

Hospital & Practice Group Affiliations

Edwards Bell Md Pc

2375 E Prater Way, Sparks, NV 894349641

Phone: 7753317000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Richard Thomson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013179373

Certified Registered Nurse Anesthetist

NPI 1033112271

Doctor of Medicine (M.D.)

NPI 1164468534

Doctor of Osteopathic Medicine (D.O.)

NPI 1205675618
Nathan Chitwood , NP

Nurse Practitioner

NPI 1265084016

Nurse Practitioner

Dr. Gordon Enns , MD

Emergency Medicine

NPI 1326000670

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 06, 2026

Registered at 280 MAPLE ST, ASHLAND, OR 975201552 (Tel: 5412014000)

📍
Updated Business Mailing Address May 06, 2026

Registered at 2825 E BARNETT RD, MSS, MEDFORD, OR 975048332 (Tel: 5417894281)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2026

Physician Assistant (License #PA228829 in OR)

NPI Profile Active July 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2014

Registered at 252 ENFIELD RD, LINCOLN, ME 044574146 (Tel: 2077947215)

📍
Updated Business Mailing Address July 25, 2014

Registered at PO BOX 368, LINCOLN, ME 044570368

👤
Provider Name / Credentials Updated July 25, 2014

Recorded as REVAZ BOUKIA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2014

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 25, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144638859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2014
Last Update: May 06, 2026
Sole Proprietor: Yes

Mailing Address

2825 E Barnett Rd, Mss

Medford, OR 975048332

Phone: 5417894281

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.