Active NPI 1831522747 Individual Practitioner Female Practitioner

Odessa Dickerson , PA

Physician Assistant • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Odessa Dickerson, PA is a registered healthcare professional specializing in Physician Assistant in Vancouver, WA. Practice services are available at 2811 NE 139TH ST under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2811 Ne 139th St

Vancouver, WA 986862724

Telephone 3608822778

Associated Practice Facility / Clinic

🏢 Manor Care Of Salmon Creek Wa, Association Facility NPI 1609171081

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Active Practitioner

Practitioner Clinical Experience

Active

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

In-Person Office Visits Only

Medicare Pricing Discount

74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	113	54	$347.00	$90.06
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	58	30	$498.00	$128.38
99306 Initial nursing facility visit, typically 45 minutes per day	51	50	$592.00	$151.92
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	44	26	$99.00	$25.18
99316 Nursing facility discharge management, more than 30 minutes	16	16	$427.00	$109.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	196	79	$288.00	$90.72
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	52	41	$425.00	$130.30
99306 Initial nursing facility visit, typically 45 minutes per day	45	44	$524.00	$154.69
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	32	23	$99.00	$25.84
99316 Nursing facility discharge management, more than 30 minutes	27	27	$329.00	$111.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	204	46	$225.00	$78.14
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	164	48	$237.10	$77.67
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	40	36	$347.25	$113.72
99316 Nursing facility discharge management, more than 30 minutes	14	14	$385.21	$88.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	251	51	$225.00	$79.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	186	66	$225.00	$79.18
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	34	33	$300.00	$117.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$241.00	$117.02
99316 Nursing facility discharge management, more than 30 minutes	23	23	$400.00	$90.95
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	22	22	$130.00	$54.10
99497 Advance care planning, first 30 minutes	22	22	$200.00	$74.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	291	99	$225.00	$80.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	286	91	$225.00	$80.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	21	$200.00	$61.17
99316 Nursing facility discharge management, more than 30 minutes	34	33	$400.00	$92.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	399	75	$225.00	$79.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	388	147	$225.00	$79.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	28	19	$200.00	$60.12
99316 Nursing facility discharge management, more than 30 minutes	26	25	$400.00	$91.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	415	90	$225.00	$76.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	308	122	$225.00	$75.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	58	41	$200.00	$58.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	820	206	$225.00	$78.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	179	58	$225.00	$78.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	58	33	$200.00	$59.31

Medical Specialties & State Licenses

CMS Verified: 2023-03-29

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA61121709

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

Secondary Practice Locations

777 Commercial St Se, Suite 130

Salem, OR 973013421

Phone: 5034854787

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jonathan Riggs , PA

Physician Assistant

NPI 1003149147

Physician Assistant

Dr. Jose Rivera , MD

Internal Medicine - Infectious Disease

NPI 1003349176

Doctor of Medicine (M.D.)

Kanuboddu Reddy

Internal Medicine

NPI 1003349820

Dr. Aaron Kaplan , MD

Radiology - Diagnostic Radiology

NPI 1003853755

Doctor of Medicine (M.D.)

Dr. Jeff Brent , MD

Emergency Medicine - Sports Medicine

NPI 1013124734

Doctor of Medicine (M.D.)

Dr. Courtney White , DO

Pediatrics

NPI 1013237379

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location March 29, 2023

Registered at 2811 NE 139TH ST, VANCOUVER, WA 986862724 (Tel: 3608822778)

📍

Updated Business Mailing Address March 29, 2023

Registered at PO BOX 4825, PORTLAND, OR 972084825 (Tel: 3608822778)

👤

Provider Name / Credentials Updated March 29, 2023

Recorded as ODESSA DICKERSON, PA

✅

NPI Profile Active August 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2013

Registered at 777 COMMERCIAL ST SE, SUITE 130, SALEM, OR 973013421 (Tel: 5034854787)

📍

Updated Business Mailing Address August 14, 2013

Registered at 777 COMMERCIAL ST SE, SUITE 130, SALEM, OR 973013421 (Tel: 5034854787)

👤

Provider Name / Credentials Updated August 14, 2013

Recorded as ODESSA STEIGLEDER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2013

Physician Assistant

🟢

Initial NPI Registration & Enumeration August 14, 2013

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: 1831522747

Entity Type:

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

Enumeration Date: August 14, 2013

Last Update: March 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4825

Portland, OR 972084825

Phone: 3608822778

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.