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Dyea L Summers , PA-C

Physician Assistant - Medical โ€ข Gresham, OR

Active NPI 1073744769 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2850 Se Powell Valley Rd Ste 100
Gresham, OR 970801495

Call 5036665050 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

2850 Se Powell Valley Rd Ste 100

Gresham, OR 970801495

Telephone 5036665050
Organization at the Same NPPES Address or Phone
Urgentcare Nw - Fairview Pc Facility NPI 1255583258

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

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Legacy Clinics 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

2011

Medicare patients

58 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 $3,674 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 $2,496 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

72 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

$394 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.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 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

2009

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)

Dyea Summers 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 Dyea Summers 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 Gresham and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant - Medical in Oregon (2024, 394 clinicians with data). Median for this group: 209. Middle half: 80 to 468.

Too few clinicians listed under Physician Assistant - Medical in Gresham have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant - Medical in Oregon (2024, 394 clinicians with data). Median for this group: $15,808. Middle half: $5,682 to $32,232.

Too few clinicians listed under Physician Assistant - Medical in Gresham have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant - Medical in Oregon (2024, 394 clinicians with data). Median for this group: $11,417. Middle half: $4,119 to $23,915.

Too few clinicians listed under Physician Assistant - Medical in Gresham have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Physician Assistant - Medical in Oregon (2024, 423 clinicians with data). Median for this group: 440. Middle half: 107 to 1,414.

Too few clinicians listed under Physician Assistant - Medical in Gresham have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Physician Assistant - Medical in Oregon (2024, 423 clinicians with data). Median for this group: $28,057. Middle half: $1,955 to $189,171.

Too few clinicians listed under Physician Assistant - Medical in Gresham have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under Physician Assistant - Medical with a practice address in Gresham, OR (699 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 Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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, 2017โ€“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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
32 31 $241.00 $78.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $300.00 $97.47

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
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 17 122 $161.72 16
Levothyroxine Sodium Levothyroxine Sodium 13 799 $178.40 โ€”
Atorvastatin Calcium Atorvastatin Calcium 11 840 $54.28 โ€”

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: 2025-12-10
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES OR PA156263
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

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

I20170302001667

Enrollment State Jurisdiction

WA

PECOS Control ID

6507017563

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

Legacy Clinics Llc

22262 Ne Glisan St, Gresham, OR 970308553

Phone: 5034892024

Legacy Clinics Llc

21430 Sw Langer Farms Pkwy, Sherwood, OR 971409141

Phone: 9718080655

Legacy Clinics Llc

13009 Ne Hwy 99, Vancouver, WA 986862307

Phone: 3606675840

Legacy Clinics Llc

4800 Sw 76th Ave, Portland, OR 972251804

Phone: 9718080665

Legacy Clinics Llc

1244 Nw Marshall St, Portland, OR 972092805

Phone: 9712328620

Legacy Clinics Llc

9361 Se 82nd Ave, Happy Valley, OR 970863645

Phone: 5034574301

Legacy Clinics Llc

1130 Nw 22nd Ave, Portland, OR 972102969

Phone: 5034138988

Legacy Clinics Llc

3505 N Williams Ave, Portland, OR 972271437

Phone: 5033964950

Legacy Clinics Llc

2850 Se Powell Valley Rd, Gresham, OR 970801494

Phone: 5036665050

Legacy Clinics Llc

3 Monroe Pkwy, Lake Oswego, OR 970358875

Phone: 5036793748

Legacy Clinics Llc

305 Se Chkalov Dr, Vancouver, WA 986835263

Phone: 3607993912

Legacy Clinics Llc

3425 Se 192nd Ave, Vancouver, WA 986831440

Phone: 3602052960

Secondary Practice Locations

4713 N Albina Ave Unit 301

Portland, OR 972172605

Phone: 5038502474

Clinicians Sharing This Practice Address or Phone

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

35 listed
Corbin Allred , PA-C

Physician Assistant

NPI 1306256359

Physician Assistant (Certified)

Jessica Barbosa , PA-C

Physician Assistant

NPI 1326391269

Physician Assistant (Certified)

Adam Bartling , PA-C

Physician Assistant

NPI 1427550367

Physician Assistant (Certified)

Gina Bawden , PA-C

Physician Assistant

NPI 1245414978

Physician Assistant (Certified)

Margeaux Brooks , PA

Physician Assistant

NPI 1427584077

Physician Assistant

Jessica Cyphert , PA-C

Physician Assistant

NPI 1205507662

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
๐Ÿ“
Updated Practice Location December 10, 2025

Registered at 2850 SE POWELL VALLEY RD STE 100, GRESHAM, OR 970801495 (Tel: 5036665050)

๐Ÿ“
Updated Business Mailing Address December 10, 2025

Registered at 2850 SE POWELL VALLEY RD STE 100, GRESHAM, OR 970801495 (Tel: 5036665050)

๐Ÿ“
Updated Business Mailing Address December 18, 2020

Registered at 5330 NE GLISAN ST, PORTLAND, OR 972133069 (Tel: 5032159700)

โœ…
NPI Profile Active February 18, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 18, 2014

Registered at 18040 SW LOWER BOONES FERRY RD, TIGARD, OR 972247258 (Tel: 5039148162)

๐Ÿ“
Business Mailing Address (Initial Record) February 18, 2014

Registered at 18040 SW LOWER BOONES FERRY RD, TIGARD, OR 972247258 (Tel: 5039148162)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 18, 2014

Recorded as DYEA SUMMERS, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2014

Physician Assistant (license number reported to NPPES: OR PA156263)

๐ŸŸข
Initial NPI Registration & Enumeration July 29, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073744769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2009
Last Update: December 10, 2025
Sole Proprietor: No

Other Physician Assistant - Medicals in Gresham

Healthcare providers in Gresham

More public profiles in Oregon

Directory navigation, in NPI number order.

Mailing Address

2850 Se Powell Valley Rd Ste 100

Gresham, OR 970801495

Phone: 5036665050

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.