David Charles Gardelius, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA217786 Issued in OR

Practice address

2614 Almond St
Klamath Falls, OR 97601-1117

Phone

(541) 883-1400

NPI assigned

Sep 2, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Oregon Health Sciences University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

David H Panossian MD PCGroup PAC ID 7517907744, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Merit-based Incentive Payment System (MIPS)

Final score

91.8 of 100Reported as group

Quality

90.66

Improvement activities

40

Cost

78.78

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGBEBA/Endpoint/BGBEBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David H Panossian MD PC

  • Sleep Specialist (PhD)
  • Klamath Falls, OR
  • NPI 1295757292
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1316615578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 ALMOND ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011117",
            "telephone_number": "541-851-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 ALMOND ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011117",
            "telephone_number": "541-883-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDELIUS",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA217786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvaro Eduardo Garay
• Brandy Garcia
• Dennis Garcia
• Rachel Camille Garcia
• Sabrina Flint Garcia
• Andrew Scott Gardner
• Charissa Lynn Garidel
• Tanya Lynn Garlitz, CADC I
• Kayla Cheyene Garner
• Jerold Lee Garrett, OT

• Medical Physician Assistant in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.