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Kimberly Edmonds , PA-C

Physician Assistant β€’ Stayton, OR

Active NPI 1760104855 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1401 N 10th Ave Ste 100
Stayton, OR 973831486

Call 5037696386 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

1401 N 10th Ave Ste 100

Stayton, OR 973831486

Telephone 5037696386
Fax 5037695647
Organization at the Same NPPES Address or Phone
Jeanne L Fitzpatrick Md Pc Facility NPI 1275704769

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: Santiam Memorial Hospital. 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

2023

30-day fills

695 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

$25,000 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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $34.40 across 2 records.

By nature of payment

  • Food and Beverage: $34.40 across 2 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $17.98 across 1 record.
  • Organon Llc: $16.42 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 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 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

2022

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, β€œDoes your provider accept Medicare as full payment?”

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)

Kimberly Edmonds 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 Kimberly Edmonds 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 Stayton and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: 340. Middle half: 96 to 1,131.

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

Part D drug cost

Close to the middle for 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.

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

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Stayton

0% of these 11 clinicians have the CMS telehealth indicator.

90.9% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $34.40.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $17.98
Organon Llc
Food and Beverage
In-kind items and services
NEXPLANON General $16.42

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 45 1,332 $824.73 β€”
Atorvastatin Calcium Atorvastatin Calcium 39 3,230 $285.81 19
Metformin Hcl Metformin Hcl 38 2,048 $271.27 11
Lisinopril Lisinopril 34 2,274 $170.87 14
Albuterol Sulfate Hfa Albuterol Sulfate 30 597 $938.82 14
Metoprolol Succinate Metoprolol Succinate 24 1,593 $291.93 β€”
Amlodipine Besylate Amlodipine Besylate 20 1,020 $77.24 β€”
Meloxicam Meloxicam 19 850 $56.25 β€”
Simvastatin Simvastatin 18 993 $263.04 β€”
Cephalexin Cephalexin 16 145 $94.65 14
Hydroxyzine Hcl Hydroxyzine Hcl 16 516 $444.38 β€”
Furosemide Furosemide 14 645 $53.24 β€”
Bupropion Xl Bupropion Hcl 14 715 $288.13 β€”
Eliquis Apixaban 14 545 $10,330.99 β€”
Jardiance Empagliflozin 14 480 $9,527.72 β€”
Tizanidine Hcl Tizanidine Hcl 13 450 $116.21 β€”
Baclofen Baclofen 12 254 $142.18 β€”
Tramadol Hcl Tramadol Hcl 11 231 $61.22 β€”
Enalapril Maleate Enalapril Maleate 11 258 $334.94 β€”
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 11 450 $125.91 β€”
Pantoprazole Sodium Pantoprazole Sodium 11 405 $83.34 β€”
Venlafaxine Hcl Er Venlafaxine Hcl 11 402 $217.60 β€”

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: 2024-01-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA218013

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.

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

I20240212000373

Enrollment State Jurisdiction

OR

PECOS Control ID

5496198087

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

Santiam Memorial Hospital

1401 N 10th Ave, Stayton, OR 973831486

Phone: 5037696386

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. Kim Dang , MD

Internal Medicine

NPI 1922364512

Doctor of Medicine (M.D.)

NPI 1760599351

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Neumann , MD

Family Medicine

NPI 1427086339

Doctor of Medicine (M.D.)

Maria Turney , FNP

Nurse Practitioner - Family

NPI 1447491121

Family Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location January 26, 2024

Registered at 1401 N 10TH AVE STE 100, STAYTON, OR 973831486 (Tel: 5037696386)

πŸ“
Updated Business Mailing Address January 26, 2024

Registered at 4777 WHITMAN CIR NE, SALEM, OR 973053600 (Tel: 5306801003)

πŸ‘€
Provider Name / Credentials Updated January 26, 2024

Recorded as KIMBERLY EDMONDS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2024

Physician Assistant (license number reported to NPPES: OR PA218013)

βœ…
NPI Profile Active September 14, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 14, 2022

Registered at 222 SE 8TH AVE STE 551, HILLSBORO, OR 971234218 (Tel: 5306801003)

πŸ“
Business Mailing Address (Initial Record) September 14, 2022

Registered at 9213 LUCINDA LN, ATASCADERO, CA 934222125 (Tel: 5306801003)

πŸ‘€
Provider Name / Credentials (Initial Record) September 14, 2022

Recorded as KIMBERLY EDMONDS, PA-S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration September 14, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760104855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2022
Last Update: January 26, 2024
Sole Proprietor: No

Other Physician Assistants in Stayton

Mailing Address

4777 Whitman Cir Ne

Salem, OR 973053600

Phone: 5306801003

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.