Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacey Ann Williamson , PA-C

Physician Assistant โ€ข Tigard, OR

Active NPI 1457667891 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

12442 Sw Scholls Ferry Rd Ste 100
Tigard, OR 972230803

Call 5032169200 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

12442 Sw Scholls Ferry Rd Ste 100

Tigard, OR 972230803

Telephone 5032169200
Organization at the Same NPPES Address or Phone
Providence Health & Services - Oregon Facility NPI 1093815243

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

NPPES lists 3 distinct additional practice-address records in Edwardsville, IL; Portland, OR; Saint Louis, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Fairview Heights Medical Group Sc. 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

2010

Medicare patients

172 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 $27,190 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 $19,753 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

3,200 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

$1,087,186 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: $406.20 across 22 records.

By nature of payment

  • Food and Beverage: $406.20 across 22 records.

Reporting-company totals (3 largest of 16)

  • Eli Lilly and Company: $54.43 across 2 records.
  • Medtronic, Inc.: $52.32 across 2 records.
  • Xeris Pharmaceuticals, Inc.: $35.71 across 2 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

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 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

2010

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

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)

Stacey Williamson 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 Stacey Williamson 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 Tigard and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Tigard, OR (2024, 33 clinicians with data). Median for this group: 268. Middle half: 112 to 611.

More Medicare Part B services than 80% 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

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Tigard, OR (2024, 33 clinicians with data). Median for this group: $19,790. Middle half: $10,399 to $27,529.

A higher 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

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Tigard, OR (2024, 33 clinicians with data). Median for this group: $12,491. Middle half: $6,992 to $20,595.

A higher Medicare payment amount than 65% 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

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Tigard, OR (2024, 37 clinicians with data). Median for this group: 257. Middle half: 89 to 755.

More Part D prescriptions than 80% 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 higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Tigard, OR (2024, 37 clinicians with data). Median for this group: $5,673. Middle half: $1,222 to $35,701.

A higher Part D drug cost than 95% 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.

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

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

Telehealth indicator in Tigard

26% of these 50 clinicians have the CMS telehealth indicator.

72% of these 50 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): 22 records totaling $406.20.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
In-kind items and services
JARDIANCE General $34.13
Medtronic, Inc.
Food and Beverage
In-kind items and services
MINIMED 780G General $31.02
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $23.35
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $21.73
Medtronic, Inc.
Food and Beverage
In-kind items and services
INCEPTIV General $21.30
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $20.30
BETA BIONICS, INC.
Food and Beverage
In-kind items and services
iLet Bionic Pancreas General $19.88
Xeris Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
RECORLEV General $19.82
Amgen Inc.
Food and Beverage
In-kind items and services
UPLIZNA General $19.60
Antares Pharma, Inc.
Food and Beverage
In-kind items and services
XYOSTED General $19.14
ARGENX US, INC.
Food and Beverage
In-kind items and services
VYVGART General $18.65
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $18.59
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $18.29
Mannkind Corporation
Food and Beverage
In-kind items and services
AFREZZA General $18.17
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $17.82
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $16.84
Neurelis, Inc.
Food and Beverage
In-kind items and services
VALTOCO General $16.48
Xeris Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
RECORLEV General $15.89
Amgen Inc.
Food and Beverage
In-kind items and services
EVENITY General $15.43
Sequel Med Tech, LLC
Food and Beverage
In-kind items and services
TWIIST General $14.76
BETA BIONICS, INC.
Food and Beverage
In-kind items and services
iLet Bionic Pancreas General $3.36
BETA BIONICS, INC.
Food and Beverage
In-kind items and services
iLet Bionic Pancreas General $1.65

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
212 162 $229.58 $103.29
82962 Blood glucose (sugar) test performed by hand-held instrument
194 146 $14.00 $3.20
83036 Hemoglobin a1c level
174 132 $40.00 $9.49
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
68 53 $97.00 $28.24
80061 Blood test, lipids (cholesterol and triglycerides)
16 16 $68.00 $13.12
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
12 12 $187.00 $74.21

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
Ozempic Semaglutide 207 10,110 $338,128.41 77
Mounjaro Tirzepatide 135 4,956 $186,441.56 47
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 74 5,208 $11,341.21 38
Farxiga Dapagliflozin Propanediol 62 3,890 $71,447.10 25
Atorvastatin Calcium Atorvastatin Calcium 60 4,740 $315.40 27
Metformin Hcl Metformin Hcl 60 5,040 $473.76 33
Levothyroxine Sodium Levothyroxine Sodium 59 4,590 $645.08 26
Glimepiride Glimepiride 50 3,660 $284.49 23
Omnipod 5 Dexg7g6 Pods (Gen 5) Insulin Pump Cart,auto,bt,g6/7 50 2,340 $49,075.32 15
Humalog Kwikpen U-100 Insulin Lispro 48 2,729 $13,403.40 20
Ultra-Fine Short Pen Needle Pen Needle, Diabetic 46 3,307 $3,911.44 21
Novolog Flexpen Insulin Aspart 39 2,261 $9,027.20 17
Metformin Hcl Er Metformin Hcl 36 2,820 $652.35 21
Jardiance Empagliflozin 34 2,600 $50,703.23 20
Methimazole Methimazole 33 2,382 $318.61 12
Trulicity Dulaglutide 32 1,232 $42,141.58 16
Nano 2nd Gen Pen Needle Pen Needle, Diabetic 31 2,055 $3,526.03 18
Glipizide Glipizide 30 2,340 $249.18 14
Insulin Lispro Kwikpen U-100 Insulin Lispro 29 1,316 $6,971.44 12
Lisinopril Lisinopril 26 2,280 $96.49 โ€”
Insulin Lispro Insulin Lispro 26 931 $1,881.56 โ€”
Rybelsus Semaglutide 26 1,320 $39,962.12 โ€”
Tresiba Flextouch U-200 Insulin Degludec 25 1,769 $24,682.06 15
Glipizide Er Glipizide 24 1,541 $416.37 โ€”
Novolog Insulin Aspart 23 1,184 $6,591.98 โ€”

(top 25 shown)

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: 2021-07-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA178932

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

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MO 2020025684

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

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085008245

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

I20210722001154

Enrollment State Jurisdiction

MO

PECOS Control ID

5698960763

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

Fairview Heights Medical Group Sc

11155 Dunn Rd, Saint Louis, MO 631366148

Phone: 3149538799

Secondary Practice Locations

11155 Dunn Rd Ste 109n

Saint Louis, MO 631366148

Phone: 3149538799

2122 Troy Rd Ste 130

Edwardsville, IL 620252540

Phone: 6186929876

9155 Sw Barnes Rd Ste 638

Portland, OR 972256633

Phone: 5032167000

Clinicians Sharing This Practice Address or Phone

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

22 listed
Dr. Evagelia Baros , DO

Internal Medicine

NPI 1003019340

Doctor of Osteopathic Medicine (D.O.)

Stephanie D'andrea , AGPCNP

Nurse Practitioner - Adult Health

NPI 1497125884
Dr. Samuel Fellin , DO

Internal Medicine

NPI 1265463996

Doctor of Osteopathic Medicine (D.O.)

Melody Flannery , PA-C

Physician Assistant

NPI 1730521311

Physician Assistant (Certified)

Martha Geisheker , ANP

Nurse Practitioner - Adult Health

NPI 1194800961

Adult Nurse Practitioner

Lauren Gorence , PA-C

Physician Assistant

NPI 1831482744

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
๐Ÿ“
Updated Practice Location February 11, 2019

Registered at 12442 SW SCHOLLS FERRY RD STE 100, TIGARD, OR 972230803 (Tel: 5032169200)

๐Ÿ“
Updated Business Mailing Address February 11, 2019

Registered at PO BOX 3158, PORTLAND, OR 972083158

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2019

Physician Assistant (license number reported to NPPES: OR PA178932)

โœ…
NPI Profile Active August 24, 2010

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 24, 2010

Registered at 1303 DANTIGNAC ST, SUITE 1200, AUGUSTA, GA 309012775 (Tel: 7067747760)

๐Ÿ“
Business Mailing Address (Initial Record) August 24, 2010

Registered at PO BOX 1705, AUGUSTA, GA 309031705 (Tel: 7067747263)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 24, 2010

Recorded as STACEY WILLIAMSON, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2010

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration August 24, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457667891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2010
Last Update: July 06, 2021
Sole Proprietor: No

Other Physician Assistants in Tigard

All Physician Assistants in Tigard

Mailing Address

Po Box 3158

Portland, OR 972083158

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.