KAYLA MAE EVERSOLE (PA-C) – Physician Assistant, NPI 1003420795
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for KAYLA MAE EVERSOLE (PA-C)
541 NE 20TH AVE STE 225
PORTLAND, OR 972322895
Phone: (503) 963-2801
Type: Mailing
1815 SW MARLOW AVE STE 100
PORTLAND, OR 972255185
Phone: (503) 935-8100
Fax: (503) 935-8110
Type: Location
5920 NE Ray Cir Ste 220
Hillsboro, OR 971246313
Phone: (503) 935-8100
Fax: (503) 935-8110
Type: Location
17088 MOORSIDE DR
PARKER, CO 801345774
Phone: (303) 565-9630
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,555.
Total Amount is formed as General ($1,555) + Research ($0) + Ownership ($0) = $1,555.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($356).
Total Amount
$1,555
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,555
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $356 |
| ABBVIE INC. | $244 |
| Regeneron Healthcare Solutions, Inc. | $232 |
| Medtronic, Inc. | $189 |
| GENZYME CORPORATION | $177 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241011002654 | I | Physician Assistant | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 78 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| 69210 | Removal of impacted ear wax | 50 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 97232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| - | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Gastroenterology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Physician Assistant | OR | |
| - | OR |
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