MELANIE GRACE MIX (PAC) – Surgical Physician Assistant, NPI 1922588508
Surgical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MELANIE GRACE MIX (PAC)
10000 SE Main St Ste 342
Portland, OR 972162470
Phone: (503) 232-5020
Fax: (503) 288-8630
Type: Location
1130 NW 22nd Ave Ste 400
Portland, OR 972102971
Phone: (503) 413-6722
Type: Location
19250 SW 65th Ave Ste 235
Tualatin, OR 970627745
Phone: (503) 692-4820
Fax: (503) 691-0793
Type: Location
5050 NE Hoyt St Ste 259
Portland, OR 972132984
Phone: (503) 943-3265
Fax: (503) 517-8679
Type: Location
300, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States
PORTLAND, OR 972322686
Phone: (503) 963-2801
Type: Mailing
541 NE 20TH AVE STE 225
PORTLAND, OR 972322895
Phone: (503) 963-2801
Type: Mailing
420, North Graham Street, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States
PORTLAND, OR 97227
Phone: (503) 288-7303
Fax: (503) 288-7306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $285.
Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.
Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($110).
Total Amount
$285
General + Research + Ownership
Payments
8
Total payment records
General Amount
$285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $110 |
| Bayer Healthcare Pharmaceuticals Inc. | $43 |
| ABBVIE INC. | $43 |
| Astellas Pharma US Inc | $35 |
| Tolmar, Inc. | $29 |
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: 2018-09-26
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 |
|---|---|---|---|---|
| I20180926003822 | 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 |
|---|---|---|---|---|
| 64566 | Insertion of lower leg neurostimulator electrode | 93 | 19 | $0 |
| 81003 | Automated urinalysis test | 27 | 24 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 97216)
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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 | |
| Qualified Audiologist | OR | |
| Physician Assistant | OR | |
| N E U R O S U R G E R Y | OR |
Reviews
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