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Active NPI 1447313010 Individual Practitioner Female Practitioner

Tiara F Packer , PA-C

Physician Assistant - Surgical • Corvallis, OR

Professional Overview & Biography Verified Profile Summary

Tiara Packer, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Corvallis, OR. Practice services are available at 3620 NW SAMARITAN DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, 3 views, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3620 Nw Samaritan Drive
Suite 202

Corvallis, OR 97330

Telephone 5417684810

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Corvallis, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Corvallis, OR (368 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
32 32 $219.00 $61.13
73562 X-ray of knee, 3 views
26 25 $32.00 $8.12
27447 Replacement of knee joint, both sides of knee
26 26 $1008.00 $180.91
73502 X-ray of hip, 2-3 views
18 17 $142.00 $34.08
73562 X-ray of knee, 3 views
17 17 $123.00 $29.52
73502 X-ray of hip, 2-3 views
14 13 $37.00 $9.64
27130 Replacement of thigh bone and hip joint with prosthesis
12 12 $1008.60 $184.77

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OR PA130018

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License NH 0614

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30334821 (NH)
Commercial Insurance / Payer ID Anthem Bcbs Moa
01Y005045NH03 (NH)
Commercial Insurance / Payer ID Anthem Bcbs Mch
01Y005045NH02 (NH)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Benjamin Kevan , ATC, PA-C

Physician Assistant

NPI 1013960368

Certified Athletic Trainer, Physician Assistant (Certified)

Dr. Anna Lobzova , DO

Neuromusculoskeletal Medicine & OMM

NPI 1336549179

Doctor of Osteopathic Medicine (D.O.)

Dr. Jacqueline Krumrey , MD

Orthopaedic Surgery

NPI 1366411241

Doctor of Medicine (M.D.)

Dr. Erandhi Hall , DO

Family Medicine

NPI 1437586765

Doctor of Osteopathic Medicine (D.O.)

Melissa Coombs , PA

Physician Assistant - Surgical

NPI 1457449316

Physician Assistant

Dr. Kit Mccalla , DO, MBA

Orthopaedic Surgery

NPI 1487626313

Doctor of Osteopathic Medicine (D.O.), Master of Business Administration

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2010

Registered at 3620 NW SAMARITAN DRIVE, SUITE 202, CORVALLIS, OR 97330 (Tel: 5417684810)

📍
Updated Business Mailing Address September 24, 2010

Registered at 3620 NW SAMARITAN DRIVE, SUITE 202, CORVALLIS, OR 97330 (Tel: 5417684810)

👤
Provider Name / Credentials Updated September 24, 2010

Recorded as TIARA PACKER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2010

Physician Assistant (License #PA130018 in OR)

🟢
Initial NPI Registration & Enumeration December 18, 2006

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: 1447313010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: September 24, 2010
Sole Proprietor: No

Mailing Address

3620 Nw Samaritan Drive, Suite 202

Corvallis, OR 97330

Phone: 5417684810

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.