MRS. DYEA L SUMMERS (PA-C) – Medical Physician Assistant, NPI 1073744769
Medical 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 MRS. DYEA L SUMMERS (PA-C)
2850 SE POWELL VALLEY RD STE 100
GRESHAM, OR 970801495
Phone: (503) 666-5050
Type: Mailing
4713 N Albina Ave Unit 301
Portland, OR 972172605
Phone: (503) 850-2474
Type: Location
18040, Southwest Lower Boones Ferry Road, Tigard, Metro, Washington County, Oregon, 97224, United States
TIGARD, OR 972247258
Phone: (503) 914-8162
Type: Mailing
5330 NE GLISAN ST
PORTLAND, OR 972133069
Phone: (503) 215-9700
Fax: (503) 215-9701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20121123000017 | I | Physician Assistant | OR | TBD |
| I20170302001667 | I | Physician Assistant | WA | 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 | 21 | 21 | $0 |
Insurance plans in this area (ZIP 97080)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| Vascular Surgery, General Surgery | OR | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Critical Care (Intensivists) | OR | |
| - | OR | |
| Internal Medicine | OR |
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