Andrew David Bodmer, PA-C
NPI 1083860548ActiveIndividual· Physician Assistant· Tigard, OR
Physician Assistant (PA-C) with Providence Health and Services Oregon, practicing in Tigard, Oregon. Their prescriptions cost Medicare Part D more than their services did: $159,948 for 1,683 claims, against $13,744 paid for services in 2024. Lists Providence Portland Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1083860548 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 14, 2008 |
| Last updated in NPPES | Oct 5, 2020 |
| Certified by provider | Oct 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA161375 | OR |
| Physician Assistant, Medical | 363AM0700X | T-4239 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 243 |
|---|---|
| Services billed | 269 across 18 procedure codes |
| Paid by Medicare | $13,744 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,683 · 3,369 30-day fills |
|---|---|
| Patients | 618 |
| Total drug cost | $159,948 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
Hospital affiliations
- Providence Portland Medical CenterPortland, OR
- Providence St Vincent Medical CenterPortland, OR
Other facilities
- Providence Home HealthHome health agency · Portland, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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