Maica Punzalan Dela Cruz , PA
Physician Assistant โข Gresham, OR
2850 Se Powell Valley Rd
Gresham, OR 970801494
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Maica Dela Cruz is listed in NPPES under Physician Assistant.
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NPI assigned on March 4, 2015; this date does not establish years in practice.
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Published CMS data list 191 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99204 โ New patient outpatient office visit: 114 service units.
- 99214 โ Established patient outpatient office visit: 55 service units.
- 99497 โ Advance care planning: 22 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 37 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl โ 20 prescription fills, including refills.
- Mupirocin โ 17 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Gresham, OR (2024, 24 clinicians with data). Median for this group: 186. Middle half: 112 to 292.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 283 in 2018 to 191 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2024.
Practice Location & Contact Primary Location
2850 Se Powell Valley Rd
Gresham, OR 970801494
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Buffalo, NY. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: South Sound Inpatient Physicians Pllc. 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
2014
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
166 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $18,386 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $14,494 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
37 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
$190 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 2021โ2025.
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2015
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Maica Dela Cruz 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.
Can order Medicare-covered services
CMS lists Maica Dela Cruz 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Gresham and Oregon
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Gresham, OR (2024, 24 clinicians with data). Median for this group: 186. Middle half: 112 to 292.
Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Gresham, OR (2024, 24 clinicians with data). Median for this group: $12,491. Middle half: $8,933 to $20,077.
Close to the middle for 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.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Gresham, OR (2024, 24 clinicians with data). Median for this group: $7,813. Middle half: $5,893 to $14,532.
Close to the middle for 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.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Physician Assistant in Gresham, OR (2024, 29 clinicians with data). Median for this group: 185. Middle half: 66 to 683.
Fewer Part D prescriptions than 85% 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.
Part D drug cost
A lower Part D drug cost than 85% of clinicians listed under Physician Assistant in Gresham, OR (2024, 29 clinicians with data). Median for this group: $1,620. Middle half: $518 to $44,770.
A lower Part D drug cost than 90% 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.
44 active clinicians are listed under Physician Assistant with a practice address in Gresham, OR (2,095 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gresham
11.4% of these 44 clinicians have the CMS telehealth indicator.
72.7% of these 44 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 33% from 283 in 2018 to 191 in 2024.
- 2018: 283
- 2019: 278
- 2020: 284
- 2021: 120
- 2024: 191
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $17,596 in 2018 and $18,386 in 2024.
- 2018: $17,596
- 2019: $16,067
- 2020: $19,240
- 2021: $13,164
- 2024: $18,386
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Paid by Medicare
Paid by Medicare increased 12% from $12,902 in 2018 to $14,494 in 2024.
- 2018: $12,902
- 2019: $11,264
- 2020: $14,435
- 2021: $10,306
- 2024: $14,494
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 72% from 133 in 2019 to 37 in 2024.
- 2019: 133
- 2020: 72
- 2021: 12
- 2022: 28
- 2024: 37
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30-day fills
30-day fills decreased 73% from 135 in 2019 to 37 in 2024.
- 2019: 135
- 2020: 72
- 2021: 12
- 2022: 28
- 2024: 37
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Part D drug cost
Part D drug cost decreased 89% from $1,752 in 2019 to $190 in 2024.
- 2019: $1,752
- 2020: $885
- 2021: $60
- 2022: $199
- 2024: $190
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
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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 |
|---|---|---|---|---|
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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114 | 114 | $957.00 | $109.89 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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55 | 53 | $693.00 | $81.29 |
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99497
Advance care planning, first 30 minutes
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22 | 22 | $546.00 | $63.08 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 20 | 324 | $38.85 | 19 |
| Mupirocin | Mupirocin | 17 | 233 | $151.42 | 17 |
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: 2020-02-07NUCC 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.
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.
NUCC Taxonomy Code: 363AM0700X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20190416001590
WA
4082923826
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
South Sound Inpatient Physicians Pllc
400 Ne Mother Joseph Pl, Vancouver, WA 986643200
Phone: 3605143727
South Sound Inpatient Physicians Pllc
407 14th Ave Se, Puyallup, WA 983723770
Phone: 2536974000
Secondary Practice Locations
85 High St
Buffalo, NY 142031149
Phone: 7166301000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as MAICA DELA CRUZ, PA
Physician Assistant (license number reported to NPPES: OR PA188907)
Registered at 2850 SE POWELL VALLEY RD, GRESHAM, OR 970801494 (Tel: 5036665050)
NPI status registered as active in NPPES database
Registered at 85 HIGH ST, BUFFALO, NY 142031149 (Tel: 7166301000)
Registered at 6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 142214836 (Tel: 7166302587)
Recorded as MAICA PUNZALAN, PA
Physician Assistant (license number reported to NPPES: NY 018490)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Gresham
- Corbin Allred, PA-C
- Bridget Marick, PA-C
- Katherine Vestakis
- Theresa Jones, PA-C
- Jenna Esterberg, PA-C
- Loan Duong, PA-C
Mailing Address
6255 Sheridan Dr, Suite 304
Williamsville, NY 142214836
Phone: 7166302587