Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Soohan Bong

Physician Assistant โ€ข Portland, OR

Active NPI 1710591821 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

5050 Ne Hoyt St Ste 359
Portland, OR 972132983

Call 5039358501 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

5050 Ne Hoyt St Ste 359

Portland, OR 972132983

Telephone 5039358501
Fax 5039358506
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: The Oregon Clinic, Pc. 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

2021

Medicare patients

81 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 $10,087 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 $7,607 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

150 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

$2,399 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: $372.29 across 6 records.

By nature of payment

  • Food and Beverage: $372.29 across 6 records.

Reporting-company totals (3 largest of 4)

  • Ethicon Inc.: $132.60 across 1 record.
  • Medical Device Business Services, Inc.: $118.80 across 1 record.
  • Globus Medical, Inc.: $72.94 across 3 records.

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

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 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

2020

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

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Soohan Bong 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 Soohan Bong 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

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Portland, OR (2024, 232 clinicians with data). Median for this group: 139. Middle half: 66 to 282.

Fewer Medicare Part B services than 75% of 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

Close to the middle for clinicians listed under Physician Assistant in Portland, OR (2024, 232 clinicians with data). Median for this group: $11,801. Middle half: $5,453 to $19,498.

A lower Medicare-allowed amount than 65% 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.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Portland, OR (2024, 232 clinicians with data). Median for this group: $8,014. Middle half: $3,970 to $14,236.

A lower Medicare payment amount than 60% 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.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Portland, OR (2024, 269 clinicians with data). Median for this group: 183. Middle half: 68 to 683.

Fewer Part D prescriptions than 65% 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

Close to the middle for clinicians listed under Physician Assistant in Portland, OR (2024, 269 clinicians with data). Median for this group: $4,935. Middle half: $523 to $54,994.

A lower Part D drug cost than 60% 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.

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

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

Telehealth indicator in Portland

24.1% of these 464 clinicians have the CMS telehealth indicator.

69.2% of these 464 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 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 $372.29.

Manufacturer Payment Nature Product Type Amount ($)
Ethicon Inc.
Food and Beverage
In-kind items and services
DERMABOND PRINEO General $132.60
Medical Device Business Services, Inc.
Food and Beverage
In-kind items and services
VISTASEAL General $118.80
Stryker Corporation
Food and Beverage
In-kind items and services
UNIVERSAL NEURO 3 General $47.95
Globus Medical, Inc.
Food and Beverage
Cash or cash equivalent
HEDRON General $39.30
Globus Medical, Inc.
Food and Beverage
Cash or cash equivalent
โ€” General $20.00
Globus Medical, Inc.
Food and Beverage
Cash or cash equivalent
HEDRON General $13.64

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
22614 Fusion of additional segment of spine
32 12 $238.71 $50.93
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
20 20 $711.00 $115.85
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
14 14 $314.00 $79.24
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 $761.00 $190.71
22612 Fusion of spine in lower back
12 12 $1007.45 $212.63

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
Oxycodone Hcl Oxycodone Hcl 58 339 $384.99 52
Methocarbamol Methocarbamol 36 423 $276.93 33
Naloxone Hcl Naloxone Hcl 22 23 $1,352.93 22
Gabapentin Gabapentin 19 561 $223.03 16
Pregabalin Pregabalin 13 390 $161.04 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: 2021-10-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA207120

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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
500813996 (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

I20230215001961

Enrollment State Jurisdiction

OR

PECOS Control ID

2365814688

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

The Oregon Clinic, Pc

5050 Ne Hoyt St, Portland, OR 972132983

The Oregon Clinic, Pc

1111 Ne 99th Ave, Portland, OR 972209442

The Oregon Clinic, Pc

5050 Ne Hoyt, Portland, OR 972132990

Phone: 5032396673

The Oregon Clinic, Pc

4805 Ne Glisan, Portland, OR 972132933

Secondary Practice Locations

9155 Sw Barnes Rd Ste 440

Portland, OR 972256631

Phone: 5039358500

Clinicians Sharing This Practice Address or Phone

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

4 listed
Dr. David Antezana , MD

Neurological Surgery

NPI 1225024052

Doctor of Medicine (M.D.)

Megan Kennedy , NP

Nurse Practitioner - Acute Care

NPI 1902436389

Nurse Practitioner

Callum Mackintosh

Physician Assistant - Surgical

NPI 1902427776
Dr. Michelle Williams , MD

Neurological Surgery

NPI 1407218472

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
๐Ÿ“
Updated Practice Location February 07, 2023

Registered at 5050 NE HOYT ST STE 359, PORTLAND, OR 972132983 (Tel: 5039358501)

๐Ÿ“
Updated Business Mailing Address February 07, 2023

Registered at 847 NE 19TH AVE STE 300, PORTLAND, OR 972322686 (Tel: 5039632801)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2023

Student in an Organized Health Care Education/Training Program

๐Ÿ‘ค
Provider Name / Credentials Updated September 16, 2021

Recorded as SOOHAN BONG

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Physician Assistant

โœ…
NPI Profile Active September 04, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 04, 2020

Registered at 222 SE 8TH AVE, HILLSBORO, OR 971234218 (Tel: 5033523628)

๐Ÿ“
Business Mailing Address (Initial Record) September 04, 2020

Registered at 718 20TH AVE, HONOLULU, HI 968164564 (Tel: 8082531458)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 04, 2020

Recorded as SOO HAN BONG

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2020

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration September 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710591821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2020
Last Update: February 07, 2023
Sole Proprietor: No

Other Physician Assistants in Portland

All Physician Assistants in Portland

Mailing Address

847 Ne 19th Ave Ste 300

Portland, OR 972322686

Phone: 5039632801

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.