Active NPI
Brett Anthony Quarles, PAC
- Physician Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60416858
- Practice address
- 2222 NW Lovejoy St
Suite 315
Portland, OR 97210-5101 - Phone
- (503) 226-6321
- Fax
- (503) 227-3422
- NPI assigned
- Feb 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA164425 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA60416858 | WA | Primary |
Addresses
Primary practice location
2222 NW Lovejoy St
Suite 315
Portland, OR 97210-5101
Mailing address
2222 NW Lovejoy St
Suite 315
Portland, OR 97210-5101
Phone (503) 226-6321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5006671545 | Medicaid | OR | |
| 1619241551 | Medicaid | WA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 SE Main St
Portland, OR 97216-2474
10123 SE Market St
Portland, OR 97216-2532
Phone (503) 251-6136
10151 SE Sunnyside Rd
Suite 100
Clackamas, OR 97015-5705
Phone (503) 659-0880
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 84.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Adventist Medical Center | Current | Accepting new patients | |
| The Oregon Clinic, PC | Past | Accepting new patients |
Locations
10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880
14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521
10000 SE Main St
Ste 365
Portland, OR 97216
Phone (503) 261-4430
Interoperability endpoints
- bquarles76632@direct.peacehealth.org
- bquarles152656@direct.ohsu.edu
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1619241551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 NW LOVEJOY ST",
"address_2": "SUITE 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972105101",
"telephone_number": "503-226-6321",
"fax_number": "503-227-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 NW LOVEJOY ST",
"address_2": "SUITE 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972105101",
"telephone_number": "503-226-6321",
"fax_number": "503-227-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARLES",
"first_name": "BRETT",
"middle_name": "ANTHONY",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-23",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA164425",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60416858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5006671545",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619241551",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.