Bryhanna Christinecharles McCully, PAC
NPI 1154919561ActiveIndividual· Physician Assistant· Gresham, OR
Physician Assistant (PAC) with Legacy Clinics LLC and 2 other groups, practicing in Gresham, Oregon. 121 Medicare patients in 2024, $33,403 paid; nearly all of their 435 Part D prescriptions were generic (90%). Lists Legacy Good Samaritan Medical Center as a hospital affiliation.
Overview
| NPI | 1154919561 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Jan 2, 2021 |
| Last updated in NPPES | Jun 17, 2026 |
| Certified by provider | Jun 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA209821 | OR |
| Physician Assistant, Surgical | 363AS0400X | PA209821 | OR |
| Physician Assistant | 363A00000X | 085008846 | IL |
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 | 121 |
|---|---|
| Services billed | 821 across 62 procedure codes |
| Paid by Medicare | $33,403 |
Part D prescriptions in 2024
| Prescriptions (claims) | 435 · 450 30-day fills |
|---|---|
| Patients | 266 |
| Total drug cost | $6,927 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Legacy Clinics LLCPortland, OR · 713 clinicians
- Peacehealth Networks on Demand LLCBellevue, WA · 193 clinicians
- Uptown Providers PCHillsboro, OR · 49 clinicians
Hospital affiliation
- Legacy Good Samaritan Medical CenterPortland, 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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