Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457667891 Individual Practitioner Female Practitioner

Stacey Ann Williamson , PA-C

Physician Assistant • Tigard, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Williamson, PA-C is a certified Physician Assistant practicing in Tigard, OR. With approximately 16 years of clinical experience since completing medical education in 2010, Stacey Williamson delivers high-quality medical care to the local community at 12442 SW SCHOLLS FERRY RD STE 100.

Stacey Williamson is affiliated with Fairview Heights Medical Group Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood glucose (sugar) test performed by hand-held instrument, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12442 Sw Scholls Ferry Rd Ste 100

Tigard, OR 972230803

Telephone 5032169200
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tigard, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +4.7 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
63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Williamson (16 Years) 16 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
212 162 $229.58 $103.29
82962 Blood glucose (sugar) test performed by hand-held instrument
194 146 $14.00 $3.20
83036 Hemoglobin A1C level
174 132 $40.00 $9.49
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
68 53 $97.00 $28.24
80061 Blood test, lipids (cholesterol and triglycerides)
16 16 $68.00 $13.12
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $187.00 $74.21

Medical Specialties & State Licenses

CMS Verified: 2021-07-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA178932

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

NUCC Taxonomy Code: 363A00000X

State License MO 2020025684

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

NUCC Taxonomy Code: 363A00000X

State License IL 085008245

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

Fairview Heights Medical Group Sc

11155 Dunn Rd, Saint Louis, MO 631366148

Phone: 3149538799

Secondary Practice Locations

11155 Dunn Rd Ste 109n

Saint Louis, MO 631366148

Phone: 3149538799

2122 Troy Rd Ste 130

Edwardsville, IL 620252540

Phone: 6186929876

9155 Sw Barnes Rd Ste 638

Portland, OR 972256633

Phone: 5032167000

Practice Associates & Co-Workers

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

30 Associated Practitioners
Dr. Evagelia Baros , DO

Internal Medicine

NPI 1003019340

Doctor of Osteopathic Medicine (D.O.)

NPI 1043246689

Doctor of Medicine (M.D.)

Dr. Marina Wagner , DO

Family Medicine

NPI 1073190773

Doctor of Osteopathic Medicine (D.O.)

NPI 1144250085

Doctor of Medicine (M.D.)

Martha Geisheker , ANP

Nurse Practitioner - Adult Health

NPI 1194800961

Adult Nurse Practitioner

Dr. Aileen Kim , MD

Internal Medicine

NPI 1255360657

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 11, 2019

Registered at 12442 SW SCHOLLS FERRY RD STE 100, TIGARD, OR 972230803 (Tel: 5032169200)

📍
Updated Business Mailing Address February 11, 2019

Registered at PO BOX 3158, PORTLAND, OR 972083158

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2019

Physician Assistant (License #PA178932 in OR)

NPI Profile Active August 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2010

Registered at 1303 DANTIGNAC ST, SUITE 1200, AUGUSTA, GA 309012775 (Tel: 7067747760)

📍
Updated Business Mailing Address August 24, 2010

Registered at PO BOX 1705, AUGUSTA, GA 309031705 (Tel: 7067747263)

👤
Provider Name / Credentials Updated August 24, 2010

Recorded as STACEY WILLIAMSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2010

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 24, 2010

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: 1457667891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2010
Last Update: July 06, 2021
Sole Proprietor: No

Mailing Address

Po Box 3158

Portland, OR 972083158

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.