Active NPI 1689615692 Individual Practitioner Male Practitioner

Dr. Roderick William Beaver , MD

Emergency Medicine • Ilwaco, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roderick Beaver, MD is a certified Emergency Medicine practicing in Ilwaco, WA. With approximately 27 years of clinical experience since graduating from Georgetown University School Of Medicine in 1999, Dr. Beaver delivers high-quality medical care to the local community at 174 1ST AVE N.

Dr. Beaver is affiliated with Public Hospital District 3 Of Pacific County and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

174 1st Ave N

Ilwaco, WA 986249137

Telephone 3604480587

Associated Practice Facility / Clinic

🏢 Providence Health & Services - Oregon Facility NPI 1235595299

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Ilwaco, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Ilwaco, WA (1495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beaver (27 Years) 27 Yrs

Ilwaco Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	35	35	$1010.35	$177.29
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	28	27	$50.44	$8.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	144	119	$50.44	$8.31
99285 Emergency department visit for life threatening or functioning severity	127	124	$1010.35	$177.27
99291 Critical care, first 30-74 minutes	42	42	$1683.11	$217.90
99284 Emergency department visit with moderate level of medical decision making	42	41	$696.30	$121.72
99283 Emergency department visit with low level of medical decision making	24	24	$380.00	$71.66
99292 Critical care, each additional 30 minutes	14	13	$735.24	$109.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	129	125	$1004.55	$174.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	121	115	$49.87	$8.53
99284 Emergency department visit with moderate level of medical decision making	58	56	$677.92	$118.50
99291 Critical care, first 30-74 minutes	39	39	$1589.55	$223.16
99283 Emergency department visit with low level of medical decision making	12	12	$373.17	$65.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	107	107	$948.00	$171.59
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	104	95	$47.00	$8.48
99284 Emergency department visit with moderate level of medical decision making	65	64	$643.00	$116.62
99283 Emergency department visit with low level of medical decision making	26	26	$339.00	$61.82
99291 Critical care, first 30-74 minutes	25	23	$1227.00	$221.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	198	173	$47.00	$8.45
99285 Emergency department visit for life threatening or functioning severity	150	145	$948.00	$170.52
99284 Emergency department visit with moderate level of medical decision making	126	120	$643.00	$117.15
99291 Critical care, first 30-74 minutes	52	51	$1227.00	$222.36
99283 Emergency department visit with low level of medical decision making	37	37	$339.00	$61.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	264	230	$38.00	$8.39
99285 Emergency department visit for life threatening or functioning severity	194	186	$763.00	$169.70
99284 Emergency department visit with moderate level of medical decision making	132	123	$517.00	$115.10
99291 Critical care, first 30-74 minutes	64	64	$988.00	$219.66
99283 Emergency department visit with low level of medical decision making	52	52	$272.00	$60.70
99292 Critical care, each additional 30 minutes	15	13	$494.00	$110.08

Medical Specialties & State Licenses

CMS Verified: 2022-12-02

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WA MD00041270

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1016271 (WA)

Medicaid State Provider ID

8323198 (WA)

Hospital & Practice Group Affiliations

Public Hospital District 3 Of Pacific County

174 1st Ave N, Ilwaco, WA 986249137

Phone: 3606423181

Secondary Practice Locations

211 Ne Skyline Dr

White Salmon, WA 986721948

Phone: 5094931101

Practice Associates & Co-Workers

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

12 Associated Practitioners

Andrew Lakanen , MS, RDN, LD

Dietitian, Registered

NPI 1063994036

Master of Science, Registered Dietitian Nutritionist, Licensed Dietitian

Denise Ross , RN-CDE

Registered Nurse - Diabetes Educator

NPI 1104067685

RNCDE

Gloria Vandehey , RN-CDE

Registered Nurse - Diabetes Educator

NPI 1194966689

RNCDE

Danielle Meyen

Physician Assistant

NPI 1225909740

Daniel Shamir

Physical Therapist

NPI 1285408203

William Chisholm , CRNA

Nurse Anesthetist, Certified Registered

NPI 1396775938

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location December 02, 2022

Registered at 174 1ST AVE N, ILWACO, WA 986249137 (Tel: 3604480587)

📍

Updated Business Mailing Address December 02, 2022

Registered at 34400 NE LESTER AVE, LA CENTER, WA 986293413 (Tel: 3604480587)

📍

Updated Practice Location April 05, 2020

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322367 (Tel: 3604142000)

📍

Updated Business Mailing Address April 05, 2020

Registered at PO BOX 101519, PASADENA, CA 911890009 (Tel: 6264470296)

✅

NPI Profile Active April 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2008

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322310 (Tel: 3604142000)

📍

Updated Business Mailing Address April 15, 2008

Registered at PO BOX 11510, WESTMINSTER, CA 926851510

👤

Provider Name / Credentials Updated April 15, 2008

Recorded as RODERICK BEAVER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2008

Emergency Medicine (License #MD00041270 in WA)

🟢

Initial NPI Registration & Enumeration June 09, 2006

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: 1689615692

Entity Type:

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

Enumeration Date: June 09, 2006

Last Update: December 02, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

34400 Ne Lester Ave

La Center, WA 986293413

Phone: 3604480587

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.