Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629123302 Individual Practitioner Female Practitioner

Kathleen S Pickering , PA-C

Physician Assistant • The Dalles, OR

Professional Overview & Biography Verified Profile Summary

Kathleen Pickering, PA-C is a registered healthcare professional specializing in Physician Assistant in The Dalles, OR. Practice services are available at 1620 E 12TH ST under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for respiratory syncytial virus, manual urinalysis test with examination using microscope, non-automated. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1620 E 12th St

The Dalles, OR 97058

Telephone 5412969151
Fax 5412964710
Associated Practice Facility / Clinic
🏢 Mid-Columbia Medical Center Facility NPI 1154351336

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in The Dalles, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
8 Specialists

Practicing in The Dalles, OR (2106 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.8% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus
30 29 $37.20 $13.10

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA01211

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 - Medical

NUCC Taxonomy Code: 363AM0700X

State License AK 469

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
218112 (OR)

Practice Associates & Co-Workers

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

25 Associated Practitioners
NPI 1003025370

Doctor of Medicine (M.D.)

Dr. Robert Alaimo , DO

Family Medicine

NPI 1033192273

Doctor of Osteopathic Medicine (D.O.)

David Macnally , PA-C

Physician Assistant - Medical

NPI 1093753592

Physician Assistant (Certified)

Shaylyn Murphy , PA-C

Physician Assistant

NPI 1164404786

Physician Assistant (Certified)

Maria Aguilar-Robles

Community Health Worker

NPI 1194410647
Dr. Peter Peruzzo , MD

Family Medicine

NPI 1225010853

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active November 03, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 03, 2017

Registered at 1750 12TH ST, HOOD RIVER, OR 970319540 (Tel: 5413865070)

📍
Updated Practice Location November 03, 2017

Registered at 1620 E 12TH ST, THE DALLES, OR 97058 (Tel: 5412969151)

👤
Provider Name / Credentials Updated November 03, 2017

Recorded as KATHLEEN PICKERING, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2017

Physician Assistant (License #PA01211 in OR)

NPI Profile Active August 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2011

Registered at 1620 E 12TH ST, THE DALLES, OR 97058 (Tel: 5412969151)

📍
Updated Business Mailing Address August 18, 2011

Registered at PO BOX 1520, THE DALLES, OR 97058 (Tel: 5412969151)

👤
Provider Name / Credentials Updated August 18, 2011

Recorded as KATHLEEN PICKERING, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2011

Physician Assistant (License #PA01211 in OR)

🟢
Initial NPI Registration & Enumeration January 24, 2007

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: 1629123302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: November 03, 2017
Sole Proprietor: No

Mailing Address

1750 12th St

Hood River, OR 970319540

Phone: 5413865070

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.