Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114167756 Individual Practitioner Male Practitioner

Samuel Lopez , PA-C

Physician Assistant - Surgical • Vancouver, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Lopez, PA-C is a certified Physician Assistant - Surgical practicing in Vancouver, WA. With approximately 16 years of clinical experience since completing medical education in 2010, Samuel Lopez delivers high-quality medical care to the local community at 203 SE PARK PLAZA DR STE 140.

Samuel Lopez is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of pelvis, 1-2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

203 Se Park Plaza Dr Ste 140

Vancouver, WA 986845887

Telephone 8008132000
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 - Surgical in Vancouver, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +1.6 yrs vs City Avg
City Avg: 14.4 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Vancouver, WA (612 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (16 Years) 16 Yrs
Vancouver Specialty Average (14.4 Years) 14.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
226 38 $5.80 $1.83
99213 Established patient office or other outpatient visit, typically 15 minutes
139 119 $221.79 $61.48
72170 X-ray of pelvis, 1-2 views
76 57 $96.89 $27.27
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
67 45 $278.85 $68.63
73562 X-ray of knee, 3 views
62 51 $108.74 $30.84
27447 Replacement of knee joint, both sides of knee
41 41 $4203.78 $179.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
40 34 $132.42 $37.44
27130 Replacement of thigh bone and hip joint with prosthesis
32 31 $4205.82 $183.96
73564 X-ray of knee, 4 or more views
17 16 $120.58 $34.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $328.38 $91.43

Medical Specialties & State Licenses

CMS Verified: 2022-03-06
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License CO PAL-3102

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OR PA156712

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

Kaiser Foundation Health Plan Of The Northwest

10100 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

203 Se Park Plaza Dr, Vancouver, WA 986845887

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

7101 Ne 137th Ave, Vancouver, WA 986824933

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

2875 Ne Stucki Ave, Hillsboro, OR 971245806

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10180 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nancy Waltz , MS CCC-SLP

Speech-Language Pathologist

NPI 1003054149

MSCCCSLP

Melissa Hill

Counselor - Addiction (Substance Use Disorder)

NPI 1003206236
NPI 1003251133

Doctor of Medicine (M.D.)

Rachael Scoones

Nurse Anesthetist, Certified Registered

NPI 1003524109
Danaya Hall , SWHNP

Nurse Practitioner

NPI 1003573825
Megan Martin , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1003579194

Master of Arts

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 12, 2019

Registered at 203 SE PARK PLAZA DR STE 140, VANCOUVER, WA 986845887 (Tel: 8008132000)

📍
Updated Business Mailing Address April 12, 2019

Registered at 203 SE PARK PLAZA DR STE 140, VANCOUVER, WA 986845887 (Tel: 8008132000)

NPI Profile Active July 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2013

Registered at 15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 972247166 (Tel: 5036396002)

📍
Updated Business Mailing Address July 24, 2013

Registered at 15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 972247166 (Tel: 5036396002)

👤
Provider Name / Credentials Updated July 24, 2013

Recorded as SAMUEL LOPEZ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2013

Physician Assistant (License #PA156712 in OR)

🟢
Initial NPI Registration & Enumeration February 23, 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: 1114167756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2009
Last Update: March 06, 2022
Sole Proprietor: No

Mailing Address

203 Se Park Plaza Dr Ste 140

Vancouver, WA 986845887

Phone: 8008132000

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.