Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Evangeline Friedbaum , PA-C

Physician Assistant โ€ข Forest Grove, OR

Active NPI 1073225348 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1909 Mountain View Ln Ste 200
Forest Grove, OR 971162894

Call 5033594773 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1909 Mountain View Ln Ste 200

Forest Grove, OR 971162894

Telephone 5033594773
Fax 5033593809
Organization at the Same NPPES Address or Phone
Timothy J Gray Do Llc Facility NPI 1477518694

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Timothy J Gray Do Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Medicare patients

78 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $8,559 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $5,741 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

183 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$938 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $122.13 across 7 records.

By nature of payment

  • Food and Beverage: $122.13 across 7 records.

Reporting-company totals (3 largest of 7)

  • ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.): $23.33 across 1 record.
  • GlaxoSmithKline, LLC.: $19.11 across 1 record.
  • AstraZeneca Pharmaceuticals LP: $19.05 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Evangeline Friedbaum has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Evangeline Friedbaum as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Forest Grove and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.

Too few clinicians listed under Physician Assistant in Forest Grove have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $15,959. Middle half: $7,110 to $33,008.

Too few clinicians listed under Physician Assistant in Forest Grove have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $11,156. Middle half: $5,029 to $23,443.

Too few clinicians listed under Physician Assistant in Forest Grove have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: 340. Middle half: 96 to 1,131.

Too few clinicians listed under Physician Assistant in Forest Grove have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: $8,538. Middle half: $984 to $101,656.

Too few clinicians listed under Physician Assistant in Forest Grove have Medicare Part D data for 2024 to compare.

10 active clinicians are listed under Physician Assistant with a practice address in Forest Grove, OR (2,095 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $122.13.

Manufacturer Payment Nature Product Type Amount ($)
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $23.33
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $19.11
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $19.05
Exeltis, USA Inc.
Food and Beverage
In-kind items and services
SLYND General $16.74
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
TRINTELLIX General $15.52
Vanda Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
FANAPT General $14.42
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Veozah General $13.96

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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
54 40 $337.50 $99.41
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
45 43 $239.40 $70.90

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 20 1,420 $205.21 โ€”
Omeprazole Omeprazole 15 960 $257.00 โ€”
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 15 87 $215.59 14
Lisinopril Lisinopril 14 720 $58.03 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 13 72 $55.08 13
Fluconazole Fluconazole 12 68 $16.01 โ€”
Metformin Hcl Er Metformin Hcl 12 840 $58.80 โ€”
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 12 73 $72.61 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500831809 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240212003576

Enrollment State Jurisdiction

OR

PECOS Control ID

6204279789

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Timothy J Gray Do Llc

1909 Mountain View Ln, Forest Grove, OR 971162894

Phone: 5033594773

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
NPI 1548520869

Doctor of Osteopathic Medicine (D.O.)

Emily Charlton , FNP

Nurse Practitioner

NPI 1407330889

Family Nurse Practitioner

Ryan Croft , PA-C

Physician Assistant - Medical

NPI 1588328314

Physician Assistant (Certified)

Thomas Gray

Family Medicine

NPI 1174898373
Dr. Timothy Gray , DO

Family Medicine

NPI 1003810441

Doctor of Osteopathic Medicine (D.O.)

Dr. Timothy Gray , DO

Family Medicine

NPI 1699770057

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Business Mailing Address October 18, 2024

Registered at 1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 971162894 (Tel: 5033594773)

๐Ÿ“
Updated Practice Location January 29, 2024

Registered at 1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 971162894 (Tel: 5033594773)

๐Ÿ“
Updated Business Mailing Address January 29, 2024

Registered at 2990 NE OVERLOOK DR APT 1832, HILLSBORO, OR 971247225 (Tel: 3852388141)

๐Ÿ‘ค
Provider Name / Credentials Updated January 29, 2024

Recorded as EVANGELINE FRIEDBAUM, PA-C

โœ…
NPI Profile Active December 19, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 19, 2022

Registered at 4415 NORTHCREST DR APT 1124, MIDLAND, TX 797073242 (Tel: 3852388141)

๐Ÿ“
Business Mailing Address (Initial Record) December 19, 2022

Registered at 4415 NORTHCREST DR APT 1124, MIDLAND, TX 797073242 (Tel: 3852388141)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 19, 2022

Recorded as EVANGELINE FRIEDBAUM, PA-S

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2022

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration December 19, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073225348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2022
Last Update: May 23, 2025
Sole Proprietor: Yes

Other Physician Assistants in Forest Grove

Healthcare providers in Forest Grove

More public profiles in Oregon

Directory navigation, in NPI number order.

Mailing Address

1909 Mountain View Ln Ste 200

Forest Grove, OR 971162894

Phone: 5033594773

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.