Active NPI 1316339088 Individual Practitioner Female Practitioner

Maica Punzalan Dela Cruz , PA

Physician Assistant • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Maica Dela Cruz, PA is a certified Physician Assistant practicing in Gresham, OR. With approximately 12 years of clinical experience since completing medical education in 2014, Maica Dela Cruz delivers high-quality medical care to the local community at 2850 SE POWELL VALLEY RD.

Maica Dela Cruz is affiliated with South Sound Inpatient Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, advance care planning, first. 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

Fax 5036661162

Associated Practice Facility / Clinic

🏢 Urgent Care Nw Gresham Pc Facility NPI 1336128321

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 Gresham, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +1.0 yrs vs City Avg

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

88.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dela Cruz (12 Years) 12 Yrs

Gresham Specialty Average (11.0 Years) 11.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$957.00	$109.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	53	$693.00	$81.29
99497 Advance care planning, first 30 minutes	22	22	$546.00	$63.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$921.98	$116.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$557.71	$85.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	77	76	$125.00	$50.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	70	$270.15	$96.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	46	$115.00	$40.85
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$187.26	$66.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$267.69	$94.82
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$192.17	$67.92
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$116.00	$41.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	94	$260.00	$93.75
99213 Established patient office or other outpatient visit, typically 15 minutes	48	48	$168.25	$63.82
81003 Automated urinalysis test	42	40	$15.00	$2.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$259.00	$93.61
71046 X-ray of chest, 2 views	23	21	$28.00	$10.49
94640 Inhalation treatment for airway obstruction or sputum production	18	18	$51.00	$16.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	15	15	$25.00	$0.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	61	$124.00	$59.96
99213 Established patient office or other outpatient visit, typically 15 minutes	64	62	$100.00	$59.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$90.00	$32.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	16	$177.00	$85.90
99239 Hospital discharge day management, more than 30 minutes	16	16	$178.00	$88.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$151.00	$84.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$314.00	$167.09
94640 Inhalation treatment for airway obstruction or sputum production	12	12	$23.00	$15.14
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$17.00	$9.40
36415 Insertion of needle into vein for collection of blood sample	11	11	$5.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	58	$124.00	$59.49
99213 Established patient office or other outpatient visit, typically 15 minutes	38	37	$100.00	$58.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$314.00	$166.73
99239 Hospital discharge day management, more than 30 minutes	25	25	$178.00	$88.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	14	$177.00	$85.93

Medical Specialties & State Licenses

CMS Verified: 2020-02-07

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA188907

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

NUCC Taxonomy Code: 363A00000X

State License NY 018490

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NY 018490

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID New York State License Number

018490 (NY)

Hospital & Practice Group Affiliations

South Sound Inpatient Physicians Pllc

400 Ne Mother Joseph Pl, Vancouver, WA 986643200

Phone: 3605143727

South Sound Inpatient Physicians Pllc

407 14th Ave Se, Puyallup, WA 983723770

Phone: 2536974000

Secondary Practice Locations

85 High St

Buffalo, NY 142031149

Phone: 7166301000

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)

Brandon Parsons , PA-CERTIFIED

Physician Assistant

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

9 Historical Events

👤

Provider Name / Credentials Updated February 07, 2020

Recorded as MAICA DELA CRUZ, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2020

Physician Assistant (License #PA188907 in OR)

📍

Updated Practice Location February 19, 2019

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

✅

NPI Profile Active March 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2016

Registered at 85 HIGH ST, BUFFALO, NY 142031149 (Tel: 7166301000)

📍

Updated Business Mailing Address March 21, 2016

Registered at 6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 142214836 (Tel: 7166302587)

👤

Provider Name / Credentials Updated March 21, 2016

Recorded as MAICA PUNZALAN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2016

Physician Assistant (License #018490 in NY)

🟢

Initial NPI Registration & Enumeration March 04, 2015

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: 1316339088

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 04, 2015

Last Update: February 07, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6255 Sheridan Dr, Suite 304

Williamsville, NY 142214836

Phone: 7166302587

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.