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Active NPI 1780177964 Individual Practitioner Male Practitioner

Gregory Randolph , PA-C

Physician Assistant - Medical • Scappoose, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gregory Randolph, PA-C is a certified Physician Assistant - Medical practicing in Scappoose, OR. With approximately 7 years of clinical experience since completing medical education in 2019, Gregory Randolph delivers high-quality medical care to the local community at 51377 SW OLD PORTLAND RD. SUITE C.

Gregory Randolph is affiliated with Oregon Health And Science University and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

51377 Sw Old Portland Rd. Suite C

Scappoose, OR 97056

Telephone 5034184222
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Scappoose, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -10.6 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Scappoose, OR (704 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
19.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Randolph (7 Years) 7 Yrs
Scappoose Specialty Average (17.6 Years) 17.6 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
81003 Automated urinalysis test
33 26 $3.00 $2.14
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
16 16 $50.25 $40.55

Medical Specialties & State Licenses

CMS Verified: 2020-12-29
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OR PA193627

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

Oregon Health And Science University

51377 Sw Old Portland Rd, Scappoose, OR 970564023

Phone: 5034184222

Secondary Practice Locations

2730 Sw Moody Ave

Portland, OR 972015042

Phone: 5034943633

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1063632073

Doctor of Medicine (M.D.)

NPI 1144781162

Doctor of Medicine (M.D.)

Leslie Iverson , ARNP, MPH

Nurse Practitioner - Family

NPI 1174621676

Advanced Registered Nurse Practitioner, Master of Public Health

Marni Doerfler , LCSW

Social Worker - Clinical

NPI 1275033268

Licensed Clinical Social Worker

NPI 1295354140

Doctor of Medicine (M.D.)

Mary Bartlett , APRN

Nurse Practitioner - Family

NPI 1316914203

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 15, 2020

Registered at 51377 SW OLD PORTLAND RD. SUITE C, SCAPPOOSE, OR 97056 (Tel: 5034184222)

📍
Updated Business Mailing Address January 15, 2020

Registered at 51377 SW OLD PORTLAND RD. SUITE C, SCAPPOOSE, OR 97056

👤
Provider Name / Credentials Updated January 15, 2020

Recorded as GREGORY RANDOLPH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2020

Physician Assistant (License #PA193627 in OR)

NPI Profile Active June 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2018

Registered at 2730 SW MOODY AVE, PORTLAND, OR 972015042 (Tel: 5034943633)

📍
Updated Business Mailing Address June 12, 2018

Registered at 2730 SW MOODY AVE, PORTLAND, OR 972015042

👤
Provider Name / Credentials Updated June 12, 2018

Recorded as GREGORY RANDOLPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 12, 2018

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: 1780177964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2018
Last Update: December 29, 2020
Sole Proprietor: Yes

Mailing Address

51377 Sw Old Portland Rd. Suite C

Scappoose, OR 97056

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.