Active NPI 1841397742 Individual Practitioner Male Practitioner

Clyde Terrence Bancroft , PA

Physician Assistant • Roseburg, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Clyde Bancroft, PA is a certified Physician Assistant practicing in Roseburg, OR. With approximately 23 years of clinical experience since completing medical education in 2003, Clyde Bancroft delivers high-quality medical care to the local community at 2570 NW EDENBOWER BLVD.

Clyde Bancroft maintains professional affiliations with Centennial Medical Group East Llc, Evergreen Family Medicine Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with tracing, testing for presence of drug, read by direct observation, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2570 Nw Edenbower Blvd
Suite 100

Roseburg, OR 97471

Telephone 5416777200

Fax 5412293362

Associated Practice Facility / Clinic

🏢 Eric A. Soder, M.d.,p.c. Facility NPI 1841463064

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roseburg, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +14.2 yrs vs City Avg

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

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bancroft (23 Years) 23 Yrs

Roseburg Specialty Average (8.8 Years) 8.8 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
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	17	17	$23.52	$6.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	24	13	$60.83	$12.35
81003 Automated urinalysis test	16	13	$24.38	$2.20
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$23.52	$6.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	23	15	$45.00	$12.06
81003 Automated urinalysis test	22	22	$15.00	$2.22
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$23.52	$5.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	24	14	$45.00	$12.22
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	21	21	$23.52	$6.13
81003 Automated urinalysis test	18	17	$15.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	23	14	$45.00	$12.51
81003 Automated urinalysis test	13	12	$15.00	$2.23
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	12	12	$23.52	$8.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	39	21	$45.00	$12.35
81003 Automated urinalysis test	29	25	$15.00	$2.39
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	24	24	$26.40	$8.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	37	24	$45.00	$12.94
81003 Automated urinalysis test	23	21	$15.00	$2.62
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	12	$26.00	$8.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	31	23	$40.48	$14.66
81003 Automated urinalysis test	30	25	$15.00	$3.02
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$26.00	$8.13

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA00866

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

500601499 (OR)

Hospital & Practice Group Affiliations

Centennial Medical Group East Llc

1937 W Harvard Ave, Roseburg, OR 974712720

Phone: 5416777200

Centennial Medical Group East Llc

2570 Nw Edenbower Blvd, Roseburg, OR 974716214

Phone: 5416777200

Evergreen Family Medicine Pc

2570 Nw Edenbower Blvd, Roseburg, OR 974716214

Evergreen Family Medicine Pc

2570 Nw Edenbower Blvd, Roseburg, OR 974716214

Phone: 5416777200

Practice Associates & Co-Workers

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

40 Associated Practitioners

Charlene Davis , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023728573

Psychiatric-Mental Health Nurse Practitioner

Dr. Brandon Bonds , MD

Family Medicine

NPI 1033406053

Doctor of Medicine (M.D.)

Gerilynn Jutson , RN

Registered Nurse

NPI 1033955711

Registered Nurse

Kathleen Riordan , FNP

Nurse Practitioner - Family

NPI 1033984554

Family Nurse Practitioner

Paul Fieber , PA

Physician Assistant

NPI 1043371305

Physician Assistant

April Green

Counselor - Mental Health

NPI 1053022830

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2011

Registered at 2570 NW EDENBOWER BLVD, SUITE 100, ROSEBURG, OR 97471 (Tel: 5416777200)

📍

Updated Business Mailing Address February 02, 2011

Registered at 2570 NW EDENBOWER BLVD, SUITE 100, ROSEBURG, OR 97471 (Tel: 5416777200)

👤

Provider Name / Credentials Updated February 02, 2011

Recorded as CLYDE BANCROFT, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2011

Physician Assistant (License #PA00866 in OR)

🟢

Initial NPI Registration & Enumeration September 20, 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: 1841397742

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: February 02, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2570 Nw Edenbower Blvd, Suite 100

Roseburg, OR 97471

Phone: 5416777200

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.