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Kathleen Ryan Ponsford, PA-C

NPI 1053548669ActiveIndividual· Physician Assistant, Medical· Vancouver, WA

Physician Assistant, Medical (PA-C) with Legacy Clinics LLC and 1 other group, practicing in Vancouver, Washington. 194 Medicare patients in 2024, $13,495 paid; nearly all of their 308 Part D prescriptions were generic (91%). Lists Legacy Salmon Creek Medical Center as a hospital affiliation.

Overview

NPI1053548669
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 22, 2009
Last updated in NPPESJun 13, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700XPA60090604WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients194
Services billed304 across 26 procedure codes
Paid by Medicare$13,495

Part D prescriptions in 2024

Prescriptions (claims)308 · 343 30-day fills
Patients202
Total drug cost$5,913
Generic share91% of claims

Medicare sources and data years

Education and affiliations

Graduation year2008
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Vancouver

All 47 physician assistants in Vancouver · All physician assistants in Washington