Active NPI 1720362882 Individual Practitioner Female Practitioner

Kellie L Graybosch , PA-C

Physician Assistant • Portland, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kellie Graybosch, PA-C is a certified Physician Assistant practicing in Portland, OR. With approximately 15 years of clinical experience since completing medical education in 2011, Kellie Graybosch delivers high-quality medical care to the local community at 9427 SW BARNES RD.

Kellie Graybosch is affiliated with Providence Health And Services Oregon and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9427 Sw Barnes Rd
Ste 495

Portland, OR 972256652

Telephone 5032161661

Associated Practice Facility / Clinic

🏢 Columbia Cardiology Associates Ltd Facility NPI 1215973318

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Portland, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +4.9 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

470 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate

23.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graybosch (15 Years) 15 Yrs

Portland Specialty Average (10.1 Years) 10.1 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	114	57	$398.00	$100.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	72	$612.00	$157.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	70	$435.00	$111.68
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	82	71	$55.00	$13.94
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$308.00	$80.11
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	18	18	$21.00	$6.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	117	95	$600.00	$157.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	33	$398.00	$103.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	47	$428.00	$109.07
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$49.00	$12.86
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$303.00	$79.91
36415 Insertion of needle into vein for collection of blood sample	12	12	$21.00	$7.70

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	103	72	$424.00	$112.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	35	$334.00	$87.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	39	$598.00	$159.16
99239 Hospital discharge day management, more than 30 minutes	15	12	$344.00	$82.48
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$301.00	$77.19

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	101	67	$431.00	$113.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	60	$602.00	$158.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	35	$334.00	$88.64
99239 Hospital discharge day management, more than 30 minutes	21	19	$346.00	$92.72

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	72	58	$346.00	$96.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	34	$464.00	$129.82
99442 Telephone medical discussion with physician, 11-20 minutes	24	22	$169.25	$66.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	14	$332.00	$87.60
99239 Hospital discharge day management, more than 30 minutes	16	15	$341.00	$93.11
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$312.62	$97.05

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	136	88	$346.00	$95.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	43	$331.00	$90.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	43	$463.00	$127.04
99239 Hospital discharge day management, more than 30 minutes	23	21	$341.00	$93.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$27.00	$7.43

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	205	118	$344.00	$93.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	41	$333.00	$89.83
99239 Hospital discharge day management, more than 30 minutes	41	39	$345.00	$93.30
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$54.00	$14.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$463.00	$123.07

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	186	135	$342.00	$92.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	56	$333.00	$88.30
99239 Hospital discharge day management, more than 30 minutes	31	29	$344.00	$92.40
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$54.00	$14.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	18	$231.00	$61.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$461.00	$108.26
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$27.00	$7.28

Medical Specialties & State Licenses

CMS Verified: 2021-03-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA156616

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500640073 (OR)

Commercial Insurance / Payer ID Rr Medicare (Ph&s)

P01046628 (OR)

Hospital & Practice Group Affiliations

Providence Health And Services Oregon

9427 Sw Barnes Rd, Portland, OR 972256652

Providence Health And Services Oregon

9205 Sw Barnes Rd, Portland, OR 972256603

Providence Health And Services Oregon

9427 Sw Barnes Rd, Portland, OR 972256612

Phone: 5032976234

Providence Health And Services Oregon

1321 Ne 99th Ave, Portland, OR 972209439

Phone: 5032154250

Providence Health And Services Oregon

4400 Ne Halsey St, Portland, OR 972131545

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Brandon Jones , MD

Internal Medicine - Interventional Cardiology

NPI 1043447873

Doctor of Medicine (M.D.)

Robin Miller , ACNP-BC, MSN

Nurse Practitioner - Acute Care

NPI 1124370200

ACNPBC, Master of Science in Nursing

Dr. Vidang Nguyen , MD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1154663987

Doctor of Medicine (M.D.)

Dr. Alexander Morss , MD

Internal Medicine - Cardiovascular Disease

NPI 1225096167

Doctor of Medicine (M.D.)

Lisa Bauer , PA-C

Physician Assistant

NPI 1356585186

Physician Assistant (Certified)

Dr. Daniel Westerdahl , MD

Internal Medicine - Cardiovascular Disease

NPI 1396061834

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2016

Registered at 9427 SW BARNES RD, STE 495, PORTLAND, OR 972256652 (Tel: 5032161661)

📍

Updated Business Mailing Address September 06, 2016

Registered at PO BOX 3158, PORTLAND, OR 972083158

👤

Provider Name / Credentials Updated September 06, 2016

Recorded as KELLIE GRAYBOSCH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2016

Physician Assistant (License #PA156616 in OR)

🟢

Initial NPI Registration & Enumeration October 06, 2011

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: 1720362882

Entity Type:

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

Enumeration Date: October 06, 2011

Last Update: March 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3158

Portland, OR 972083158

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.