Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619341724 Individual Practitioner Male Practitioner

Carl Wallace Leder , PA-C

Physician Assistant • Roseburg, OR

Professional Overview & Biography Verified Profile Summary

Carl Leder, PA-C is a registered healthcare professional specializing in Physician Assistant in Roseburg, OR. Practice services are available at 621 W MADRONE ST under active NPI credentials.

Frequently performed procedures and clinical services include testing for presence of drug, read by direct observation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

621 W Madrone St

Roseburg, OR 974703090

Telephone 5416722691
Fax 8332998415
Associated Practice Facility / Clinic
🏢 Adapt Facility NPI 1720010549

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Roseburg, OR (2106 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.6% 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 (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
80305 Testing for presence of drug, read by direct observation
55 12 $50.00 $13.19

Medical Specialties & State Licenses

CMS Verified: 2022-02-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA174113

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Uriah Yraguen

Peer Specialist

NPI 1003538315
Emily Tucker , LPC NCC

Counselor - Professional

NPI 1013210681

LPCNCC

Mae Hoopes

Counselor - Addiction (Substance Use Disorder)

NPI 1013528272
Sarah Moon

Counselor - Addiction (Substance Use Disorder)

NPI 1013636034
Maggie Klapperich

Peer Specialist

NPI 1023501798
Ashley Martin

Case Manager/Care Coordinator

NPI 1023687951

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 23, 2022

Registered at 621 W MADRONE ST, ROSEBURG, OR 974703090 (Tel: 5416722691)

📍
Updated Business Mailing Address February 23, 2022

Registered at PO BOX 1121, ROSEBURG, OR 974700254 (Tel: 5416722691)

NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2015

Registered at 1375 N 10TH AVE, STAYTON, OR 973832099 (Tel: 5037692641)

📍
Updated Business Mailing Address December 01, 2015

Registered at 865 8TH ST, GERVAIS, OR 970269757 (Tel: 2084196003)

👤
Provider Name / Credentials Updated December 01, 2015

Recorded as CARL LEDER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Physician Assistant (License #PA174113 in OR)

🟢
Initial NPI Registration & Enumeration December 01, 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: 1619341724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2015
Last Update: February 23, 2022
Sole Proprietor: No

Mailing Address

Po Box 1121

Roseburg, OR 974700254

Phone: 5416722691

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.