Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174136725 Individual Practitioner Male Practitioner

Anthony Lance Johnson , PA-C

Physician Assistant • Lake Oswego, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Anthony Johnson, PA-C is a certified Physician Assistant practicing in Lake Oswego, OR. With approximately 5 years of clinical experience since completing medical education in 2021, Anthony Johnson delivers high-quality medical care to the local community at 4103 MERCANTILE DR.

Anthony Johnson is affiliated with Summit Orthopaedics, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, x-ray of knee, 1-2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4103 Mercantile Dr

Lake Oswego, OR 970352556

Telephone 5038509940
Fax 5038506709
Associated Practice Facility / Clinic
🏢 Britton A Frome Md Pc Facility NPI 1437287455

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lake Oswego, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.4 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Lake Oswego, OR (2106 Statewide)

Telehealth Adoption Rate
35.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (5 Years) 5 Yrs
Lake Oswego Specialty Average (9.4 Years) 9.4 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
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
22 22 $550.00 $190.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
17 17 $526.35 $146.13
73560 X-ray of knee, 1-2 views
16 14 $99.06 $29.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
11 11 $354.64 $99.70

Medical Specialties & State Licenses

CMS Verified: 2022-02-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA208077

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

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Summit Orthopaedics, Llp

4103 Mercantile Dr, Lake Oswego, OR 970352556

Phone: 5038509940

Secondary Practice Locations

4311 11th Ave Ne Ste 200

Seattle, WA 981056367

Phone: 2066164001

5302 Ne 72nd Ave Apt N143

Vancouver, WA 986613573

Phone: 2532230231

Practice Associates & Co-Workers

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

18 Associated Practitioners
Amanda Kinder , FNP-C

Nurse Practitioner - Family

NPI 1013602473

Family Nurse Practitioner (Certified)

Dr. Steven Madey , MD

Orthopaedic Surgery

NPI 1083719793

Doctor of Medicine (M.D.)

Colin Barich

Physician Assistant

NPI 1134908304
Kyle Tang , PA-C

Physician Assistant

NPI 1295603157

Physician Assistant (Certified)

Samantha Arcediano , PA-C

Physician Assistant

NPI 1376370304

Physician Assistant (Certified)

Dr. Stephen Wallace , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1396162673

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 February 08, 2022

Registered at 4103 MERCANTILE DR, LAKE OSWEGO, OR 970352556 (Tel: 5038509940)

📍
Updated Business Mailing Address February 08, 2022

Registered at 4103 MERCANTILE DR, LAKE OSWEGO, OR 970352556 (Tel: 5038509940)

👤
Provider Name / Credentials Updated February 08, 2022

Recorded as ANTHONY JOHNSON, PA-C

NPI Profile Active August 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2020

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

📍
Updated Business Mailing Address August 25, 2020

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367

👤
Provider Name / Credentials Updated August 25, 2020

Recorded as ANTHONY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 24, 2020

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: 1174136725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2020
Last Update: February 08, 2022
Sole Proprietor: No

Mailing Address

4103 Mercantile Dr

Lake Oswego, OR 970352556

Phone: 5038509940

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.