Paul David Mortlock, PA-C
NPI 1376506733ActiveIndividual· Physician Assistant, Medical· Vancouver, WA
Physician Assistant, Medical (PA-C) with Radia Inc P S, practicing in Vancouver, Washington. Medicare paid $15,990 for services to 167 patients in 2024. Inari Medical, Inc. was the largest of 2 companies reporting payments in 2024, $330.74 in all, mostly food and beverage. Lists Legacy Salmon Creek Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1376506733 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 7, 2006 |
| Last updated in NPPES | Aug 29, 2024 |
| Certified by provider | Aug 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA10004695 | WA |
| Physician Assistant | 363A00000X | PA10004695 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 167 |
|---|---|
| Services billed | 320 across 45 procedure codes |
| Paid by Medicare | $15,990 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Radia Inc P SSeattle, WA · 277 clinicians
Hospital affiliations
- Legacy Salmon Creek Medical CenterVancouver, WA
- Peacehealth Southwest Medical CenteVancouver, WA
- Peacehealth St John Medical CenterLongview, WA
Industry payments (Open Payments)
- 2024$330.74 · 3 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Inari Medical, Inc. | $192.48 | 2 |
| Penumbra, Inc. | $138.26 | 1 |
What the 2024 payments were for
- Food and Beverage$330.74 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 47 physician assistants in Vancouver · All physician assistants in Washington