Active NPI 1003050071 Individual Practitioner Female Practitioner

Breanne Cannon , PA-C

Physician Assistant • Vancouver, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Breanne Cannon, PA-C is a certified Physician Assistant practicing in Vancouver, WA. With approximately 16 years of clinical experience since completing medical education in 2010, Breanne Cannon delivers high-quality medical care to the local community at 200 NE MOTHER JOSEPH PL STE 300.

Breanne Cannon is affiliated with Modern Nose Clinic Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include test for allergy using allergenic extract, diagnostic examination of nasal passages using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Ne Mother Joseph Pl Ste 300

Vancouver, WA 98664

Telephone 3602546161

Fax 3604491146

Associated Practice Facility / Clinic

🏢 Northwest Surgical Specialists Pc Facility NPI 1801318415

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +2.9 yrs vs City Avg

City Avg: 13.1 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate

21.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cannon (16 Years) 16 Yrs

Vancouver Specialty Average (13.1 Years) 13.1 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
95004 Test for allergy using allergenic extract	1,104	23	$14.31	$2.87
31231 Diagnostic examination of nasal passages using an endoscope	84	54	$455.20	$151.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	44	$273.00	$102.33
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$186.00	$73.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$417.00	$136.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,152	24	$14.31	$3.00
31231 Diagnostic examination of nasal passages using an endoscope	54	33	$455.20	$149.60
99213 Established patient office or other outpatient visit, typically 15 minutes	46	32	$186.00	$71.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	33	$273.00	$101.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
31231 Diagnostic examination of nasal passages using an endoscope	65	33	$455.20	$154.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	41	$273.00	$102.53
99213 Established patient office or other outpatient visit, typically 15 minutes	48	32	$186.00	$74.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$225.05	$75.87
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$799.33	$130.09
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$282.52	$85.32
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	12	$151.25	$28.53
72100 X-ray of lower and sacral spine, 2-3 views	15	13	$114.96	$33.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	27	27	$557.36	$142.69
72100 X-ray of lower and sacral spine, 2-3 views	21	18	$58.91	$19.50
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	13	$107.84	$29.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	14	$100.70	$33.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	11	$196.70	$36.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$282.30	$94.74
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$192.39	$64.89
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$387.65	$106.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	25	$192.39	$63.97
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	38	38	$557.36	$146.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	22	$100.70	$33.81
72100 X-ray of lower and sacral spine, 2-3 views	24	21	$92.38	$29.84
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$262.54	$87.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$285.89	$93.25
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	16	$107.84	$29.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$435.13	$130.04
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	13	$196.70	$36.38
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$129.40	$42.15
72040 X-ray of upper spine, 2-3 views	13	11	$91.97	$29.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	27	$186.79	$62.18
72100 X-ray of lower and sacral spine, 2-3 views	41	29	$89.42	$28.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	25	$97.77	$33.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$277.56	$91.98
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	27	26	$541.13	$144.13
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	25	17	$190.97	$34.75
22614 Fusion of additional segment of spine	21	11	$193.63	$54.33
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$254.89	$86.11
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	11	$104.70	$29.37
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	13	$376.36	$106.03
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$966.10	$260.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	24	$96.33	$32.88
72100 X-ray of lower and sacral spine, 2-3 views	37	33	$86.77	$27.67
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$184.03	$61.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$273.46	$88.00
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	33	24	$188.15	$34.79
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	25	$533.13	$138.01
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	12	$103.15	$28.34
22633 Fusion of spine in lower back with partial removal of spine bone and disc	18	18	$908.27	$250.20
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$251.12	$84.67
72110 X-ray of lower and sacral spine, minimum of 4 views	13	12	$127.27	$39.78
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$369.80	$101.79

Medical Specialties & State Licenses

CMS Verified: 2021-04-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA 60234603

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 - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WA PA 60234603

Definition to come...

Hospital & Practice Group Affiliations

Modern Nose Clinic Llc

340 Vista Ave Se, Salem, OR 973024546

Phone: 5035841174

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Physical Therapist

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Neurological Surgery

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Doctor of Medicine (M.D.)

Dr. Jessica Woods , PT, DPT

Physical Therapist

NPI 1023268802

Physical Therapist, Doctor of Physical Therapy

Dr. James Chesnutt , MD

Family Medicine - Sports Medicine

NPI 1043225543

Doctor of Medicine (M.D.)

Dr. Edward Coale , MD

Orthopaedic Surgery - Hand Surgery

NPI 1043255623

Doctor of Medicine (M.D.)

Dr. Jerome Dasilva , MD

Orthopaedic Surgery

NPI 1043433774

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

👤

Provider Name / Credentials Updated April 13, 2021

Recorded as BREANNE CANNON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2021

Physician Assistant (License #PA 60234603 in WA)

📍

Updated Practice Location August 10, 2018

Registered at 200 NE MOTHER JOSEPH PL STE 300, VANCOUVER, WA 98664 (Tel: 3602546161)

📍

Updated Business Mailing Address August 10, 2018

Registered at 200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 986643295 (Tel: 3602546161)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2018

Physician Assistant (License #PA 60234603 in WA)

✅

NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2013

Registered at 200 NE MOTHER JOSEPH PL, SUITE 210, VANCOUVER, WA 986643299 (Tel: 3602546161)

📍

Updated Business Mailing Address August 06, 2013

Registered at 200 NE MOTHER JOSEPH PL, SUITE 210, VANCOUVER, WA 986643299 (Tel: 3602546161)

👤

Provider Name / Credentials Updated August 06, 2013

Recorded as BREANNE ROHDE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Physician Assistant (License #PA 60234603 in WA)

🟢

Initial NPI Registration & Enumeration April 22, 2009

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: 1003050071

Entity Type:

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

Enumeration Date: April 22, 2009

Last Update: April 13, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Ne Mother Joseph Pl Ste 210

Vancouver, WA 986643295

Phone: 3602546161

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.