KELSEY LYNN GRETZINGER (PA-C) – Physician Assistant, NPI 1619445715
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Loading map...
Provider Addresses for KELSEY LYNN GRETZINGER (PA-C)
1155 NW EVERETT ST APT 319
PORTLAND, OR 972092982
Phone:
Type: Mailing
Southwest 65th Avenue, Tualatin, Metro, Washington County, Oregon, 97062, United States
TUALATIN, OR 970629712
Phone: (503) 828-1150
Fax: (503) 828-1160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $206.
Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Highridge Medical LLC ($138).
Total Amount
$206
General + Research + Ownership
Payments
4
Total payment records
General Amount
$206
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Highridge Medical LLC | $138 |
| Globus Medical, Inc. | $40 |
| Abbott Laboratories | $28 |
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: 2019-03-28
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 |
|---|---|---|---|---|
| I20190328002137 | 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 | 75 | 57 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 97209)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| - | OR | |
| Orthopedic Surgery | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.