Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Susan E Rivard-Dibenedetto , PA-C

Physician Assistant โ€ข Gresham, OR

Active NPI 1265493399 Individual Practitioner Female Practitioner
Practice location in NPPES

2850 Se Powell Valley Rd
Gresham, OR 970801494

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

Gresham, OR 970801494

Telephone 5036665050
Organization at the Same NPPES Address or Phone
Urgent Care Nw Gresham Pc Facility NPI 1336128321

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

Medicare-allowed amount

About $15,529 in 2019

The total amount Medicare approved for these services in 2019. 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, 2019.

Paid by Medicare

About $9,395 in 2019

The part of the Medicare-allowed amount that Medicare itself paid in 2019, 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, 2019.

30-day fills

57 standardized 30-day fills in 2019

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

$846 in 2019

The total cost of these prescriptions in 2019, 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, 2019.

Industry payments (Open Payments)

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

Guide: How to read an Open Payments record

NPI first issued

2006

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

Compared with the same specialty in Gresham and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Susan Rivard-Dibenedetto are from 2019.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Susan Rivard-Dibenedetto are from 2019.

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.

Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2019), 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 2019.

CMS Part B ยท Data Year 2019
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2018 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€“2019; 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
100 100 $114.51 $93.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
44 34 $109.49 $93.84
81002 Urinalysis, manual test
21 20 $4.96 $3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $193.27 $141.75

Source: CMS Part B by Provider and Service, 2019; 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 2019.

CMS Part D ยท Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 19 95 $144.38 17
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 14 92 $287.86 13
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 13 130 $132.88 13
Doxycycline Hyclate Doxycycline Hyclate 11 107 $280.52 11

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA151129

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 - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES WA PA10003271
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
8377012 (WA)

Clinicians Sharing This Practice Address or Phone

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

36 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

11 Historical Events
โœ…
NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location February 10, 2017

Registered at 2850 SE POWELL VALLEY RD, GRESHAM, OR 970801494 (Tel: 5036665050)

๐Ÿ“
Updated Business Mailing Address February 10, 2017

Registered at PO BOX 3777, PORTLAND, OR 972083777

๐Ÿ‘ค
Provider Name / Credentials Updated February 10, 2017

Recorded as SUSAN RIVARD-DIBENEDETTO, PA C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Physician Assistant (license number reported to NPPES: OR PA151129)

โœ…
NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 12, 2011

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322031 (Tel: 5038133922)

๐Ÿ“
Business Mailing Address (Initial Record) September 12, 2011

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322031

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 12, 2011

Recorded as SUSAN RIVARD-DIBENEDETTO, PA C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Physician Assistant (license number reported to NPPES: OR PA151129)

๐ŸŸข
Initial NPI Registration & Enumeration March 29, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265493399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2006
Last Update: February 10, 2017
Sole Proprietor: No

Other Physician Assistants in Gresham

All Physician Assistants in Gresham

Mailing Address

Po Box 3777

Portland, OR 972083777

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.