Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265493399 Individual Practitioner Female Practitioner

Susan E Rivard-Dibenedetto , PA-C

Physician Assistant • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Susan Rivard-Dibenedetto, PA-C is a registered healthcare professional specializing in Physician Assistant in Gresham, OR. Practice services are available at 2850 SE POWELL VALLEY RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2850 Se Powell Valley Rd

Gresham, OR 970801494

Telephone 5036665050
Associated Practice Facility / Clinic
🏢 Urgent Care Nw Gresham Pc Facility NPI 1336128321

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
44 Specialists

Practicing in Gresham, OR (2106 Statewide)

Telehealth Adoption Rate
11.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.3% 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
100 100 $114.51 $93.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
44 34 $109.49 $93.84
81002 Urinalysis, manual test
21 20 $4.96 $3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $193.27 $141.75

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA151129

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License WA PA10003271

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8377012 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Edwish Adrien , PA

Physician Assistant

NPI 1003062829

Physician Assistant

Dr. Mark Hosko , MD

General Practice

NPI 1043233570

Doctor of Medicine (M.D.)

Sommer Verley , FNP-C

Nurse Practitioner

NPI 1043617608

Family Nurse Practitioner (Certified)

Dyea Summers , PA-C

Physician Assistant - Medical

NPI 1073744769

Physician Assistant (Certified)

NPI 1154722692

PACERTIFIED

Theresa Jones , PA-C

Physician Assistant

NPI 1154872638

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 2850 SE POWELL VALLEY RD, GRESHAM, OR 970801494 (Tel: 5036665050)

📍
Updated Business Mailing Address February 10, 2017

Registered at PO BOX 3777, PORTLAND, OR 972083777

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as SUSAN RIVARD-DIBENEDETTO, PA C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Physician Assistant (License #PA151129 in OR)

NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2011

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322031 (Tel: 5038133922)

📍
Updated Business Mailing Address September 12, 2011

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322031

👤
Provider Name / Credentials Updated September 12, 2011

Recorded as SUSAN RIVARD-DIBENEDETTO, PA C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Physician Assistant (License #PA151129 in OR)

🟢
Initial NPI Registration & Enumeration March 29, 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: 1265493399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2006
Last Update: February 10, 2017
Sole Proprietor: No

Mailing Address

Po Box 3777

Portland, OR 972083777

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.