Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Paul J Deitering , PA-C

Physician Assistant โ€ข Portland, OR

Active NPI 1598701690 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

9427 Sw Barnes Rd, Suite 490
Portland, OR 972256652

Call 5032912123 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

9427 Sw Barnes Rd
Suite 490

Portland, OR 972256652

Telephone 5032912123
Fax 5032921860
Organization at the Same NPPES Address or Phone
Columbia Cardiology Associates Ltd Facility NPI 1215973318

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: Providence Health And Services Oregon. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2000

Medicare patients

306 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 $42,772 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 $30,790 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

2,155 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

$373,744 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: $775.90 across 13 records.

By nature of payment

  • Food and Beverage: $775.90 across 13 records.

Reporting-company totals (3 largest of 6)

  • Boston Scientific Corporation: $245.38 across 4 records.
  • AtriCure, Inc.: $185.70 across 2 records.
  • Medtronic, Inc.: $161.63 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

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 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, CMS release of October 2, 2026.

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.

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, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Paul Deitering 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 Paul Deitering 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 Portland and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Portland, OR (2024, 227 clinicians with data). Median for this group: 137. Middle half: 64 to 281.

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Oregon (2024, 1,139 clinicians with data). Median for this group: 217. Middle half: 97 to 503.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Portland, OR (2024, 227 clinicians with data). Median for this group: $11,547. Middle half: $5,217 to $19,359.

A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Oregon (2024, 1,139 clinicians with data). Median for this group: $15,883. Middle half: $7,100 to $33,327.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Portland, OR (2024, 227 clinicians with data). Median for this group: $7,695. Middle half: $3,800 to $14,166.

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Oregon (2024, 1,139 clinicians with data). Median for this group: $11,125. Middle half: $5,014 to $23,802.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Portland, OR (2024, 262 clinicians with data). Median for this group: 182. Middle half: 69 to 652.

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Oregon (2024, 1,332 clinicians with data). Median for this group: 342. Middle half: 96 to 1,131.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Portland, OR (2024, 262 clinicians with data). Median for this group: $5,414. Middle half: $532 to $50,336.

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Oregon (2024, 1,332 clinicians with data). Median for this group: $8,935. Middle half: $979 to $101,656.

461 active clinicians are listed under Physician Assistant with a practice address in Portland, OR (2,131 in Oregon).

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

Telehealth indicator in Portland

26% of these 461 clinicians have the CMS telehealth indicator.

68.3% of these 461 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, 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): 13 records totaling $775.90.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
MICRA General $161.63
Boston Scientific Corporation
Food and Beverage
In-kind items and services
VersaCross Access Solution General $160.35
AtriCure, Inc.
Food and Beverage
In-kind items and services
EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX General $147.77
Pfizer Inc.
Food and Beverage
In-kind items and services
VYNDAMAX General $58.22
AtriCure, Inc.
Food and Beverage
In-kind items and services
EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX General $37.93
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $37.59
Boston Scientific Corporation
Food and Beverage
In-kind items and services
VersaCross Access Solution General $37.02
Boston Scientific Corporation
Food and Beverage
In-kind items and services
FARAPULSE General $26.53
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $23.23
Abbott Laboratories
Food and Beverage
In-kind items and services
AVEIR General $22.67
Abbott Laboratories
Food and Beverage
In-kind items and services
JOT DX General $21.85
Boston Scientific Corporation
Food and Beverage
In-kind items and services
FARAPULSE General $21.48
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $19.63

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
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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
187 155 $435.00 $111.39
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
134 119 $21.00 $6.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
76 70 $612.00 $155.32
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
33 33 $49.00 $12.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
29 29 $55.00 $13.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
23 16 $264.00 $65.03
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
16 15 $308.00 $79.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
13 13 $748.00 $191.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $567.00 $144.15
92960 External shock to heart to regulate heart beat
11 11 $359.00 $91.30
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
11 11 $166.00 $41.71

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
Eliquis Apixaban 191 13,095 $246,393.09 75
Flecainide Acetate Flecainide Acetate 160 11,247 $7,073.76 79
Metoprolol Succinate Metoprolol Succinate 145 11,195 $2,292.85 63
Amiodarone Hcl Amiodarone Hcl 112 8,869 $2,354.46 59
Sotalol Sotalol Hcl 91 6,055 $1,807.85 33
Dofetilide Dofetilide 70 4,498 $6,639.05 25
Xarelto Rivaroxaban 68 5,912 $106,599.86 31
Amlodipine Besylate Amlodipine Besylate 22 720 $45.68 โ€”
Warfarin Sodium Warfarin Sodium 21 1,510 $376.79 โ€”
Carvedilol Carvedilol 12 840 $160.31 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: 2021-03-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA00711

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.

Internal Medicine - Clinical Cardiac Electrophysiology

NUCC Taxonomy Code: 207RC0001X

License # reported to NPPES OR PA00711

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

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
286755 (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

I20040622000319

Enrollment State Jurisdiction

OR

PECOS Control ID

1052396207

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, CMS release of October 2, 2026

Providence Health And Services Oregon

1003 N Providence Dr, Newberg, OR 971327521

Phone: 5032161661

Providence Health And Services Oregon

1321 Ne 99th Ave, Portland, OR 972209439

Phone: 5032154250

Providence Health And Services Oregon

9205 Sw Barnes Rd, Portland, OR 972256603

Providence Health And Services Oregon

9427 Sw Barnes Rd, Portland, OR 972256612

Phone: 5032976234

Providence Health And Services Oregon

9427 Sw Barnes Rd, Portland, OR 972256652

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Masud Ahmad , MD

Internal Medicine - Cardiovascular Disease

NPI 1780620880

Doctor of Medicine (M.D.)

Emmanuel Ariola , FNP

Nurse Practitioner - Family

NPI 1912341108

Family Nurse Practitioner

Alec Baker , PA-C

Physician Assistant

NPI 1932158953

Physician Assistant (Certified)

Lisa Bauer , PA-C

Physician Assistant

NPI 1356585186

Physician Assistant (Certified)

Dr. Maxine Bauer , MD

Obstetrics & Gynecology

NPI 1497749345

Doctor of Medicine (M.D.)

Dr. James Beckerman , MD

Internal Medicine - Cardiovascular Disease

NPI 1487697488

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2021

Internal Medicine (license number reported to NPPES: OR PA00711)

๐Ÿ“
Updated Business Mailing Address June 26, 2020

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032156494)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2020

Physician Assistant (license number reported to NPPES: OR PA00711)

โœ…
NPI Profile Active July 21, 2009

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 21, 2009

Registered at 9427 SW BARNES RD, SUITE 490, PORTLAND, OR 972256652 (Tel: 5032912123)

๐Ÿ“
Business Mailing Address (Initial Record) July 21, 2009

Registered at 9427 S.W. BARNES RD., SUITE 490, PORTLAND, OR 97225 (Tel: 5032912123)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 21, 2009

Recorded as PAUL DEITERING, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2009

Internal Medicine (license number reported to NPPES: OR PA00711)

๐ŸŸข
Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598701690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2006
Last Update: March 09, 2021
Sole Proprietor: No

Other Physician Assistants in Portland

All Physician Assistants in Portland

Mailing Address

Po Box 3158

Portland, OR 972083158

Phone: 5032156494

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.