Jeffrey Allan Koller, PA-C
NPI 1215790639ActiveIndividual· Physician Assistant· Sublimity, OR
Physician Assistant (PA-C) with Santiam Memorial Hospital and 1 other group, practicing in Sublimity, Oregon. Part D covered 296 prescriptions written in 2024, 86% of them generic. Lists Santiam Hospital & Clinics as a hospital affiliation.
Overview
| NPI | 1215790639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 31, 2024 |
| Last updated in NPPES | Dec 22, 2025 |
| Certified by provider | Dec 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA218511 | OR |
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) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 296 · 430 30-day fills |
|---|---|
| Patients | 98 |
| Total drug cost | $15,994 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Santiam Memorial HospitalStayton, OR · 129 clinicians
- Robert Olsen MD LLCPortland, OR · 29 clinicians
Hospital affiliation
- Santiam Hospital & ClinicsStayton, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Sublimity
- 1447849419
- 1033248042