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Active NPI 1043717390 Individual Practitioner Female Practitioner

Rayna Donnelly , PA-C

Physician Assistant • Tigard, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rayna Donnelly, PA-C is a certified Physician Assistant practicing in Tigard, OR. With approximately 9 years of clinical experience since completing medical education in 2017, Rayna Donnelly delivers high-quality medical care to the local community at 9735 SW SHADY LN STE 102.

Rayna Donnelly is affiliated with Mountain West Derm - Blackhart Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9735 Sw Shady Ln Ste 102

Tigard, OR 97223

Telephone 5036205614
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tigard, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
50 Specialists

Practicing in Tigard, OR (2106 Statewide)

Telehealth Adoption Rate
26.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Donnelly (9 Years) 9 Yrs
Tigard Specialty Average (11.3 Years) 11.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes
210 154 $187.49 $78.18
17003 Destruction of precancer skin growth, 2-14 growths
197 42 $19.00 $6.03
11102 Tangential biopsy of single skin lesion
89 78 $202.58 $87.49
17000 Destruction of skin growth
77 62 $169.32 $47.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
41 38 $113.64 $49.72
11103 Biopsy of related skin growth, each additional growth
35 27 $125.00 $44.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
29 23 $274.79 $109.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $272.98 $93.75
17110 Destruction of up to 14 skin growths
20 20 $278.76 $102.69

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA185400

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.

Hospital & Practice Group Affiliations

Mountain West Derm - Blackhart Pllc

10215 Sw Hall Blvd, Tigard, OR 972238809

Phone: 5032452415

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1184607244

Doctor of Medicine (M.D.)

Tyron Tracy , PA-C

Physician Assistant

NPI 1295176923

Physician Assistant (Certified)

Dr. Michael Barrett , MD

Allergy & Immunology

NPI 1497868145

Doctor of Medicine (M.D.)

Hong Diem Nguyen , PA-C

Physician Assistant - Medical

NPI 1508849324

Physician Assistant (Certified)

NPI 1518940162

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 25, 2018

Registered at 9735 SW SHADY LN STE 102, TIGARD, OR 97223 (Tel: 5036205614)

📍
Updated Business Mailing Address July 25, 2018

Registered at 9735 SW SHADY LN STE 102, TIGARD, OR 972235481

NPI Profile Active April 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2018

Registered at 9735 SW SHADY LN STE 102, TIGARD, OR 972235481 (Tel: 5036205614)

📍
Updated Business Mailing Address April 11, 2018

Registered at 1401 SW SPRING GARDEN ST, PORTLAND, OR 972194280

👤
Provider Name / Credentials Updated April 11, 2018

Recorded as RAYNA DONNELLY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2018

Physician Assistant (License #PA185400 in OR)

🟢
Initial NPI Registration & Enumeration April 11, 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: 1043717390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2018
Last Update: July 25, 2018
Sole Proprietor: No

Mailing Address

9735 Sw Shady Ln Ste 102

Tigard, OR 972235481

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.