Krystalyna Montano
NPI 1477030989ActiveIndividual· Physician Assistant· Portland, OR
Physician Assistant with Legacy Clinics LLC and 1 other group, practicing in Portland, Oregon. 96 Medicare patients in 2024, $10,868 paid; nearly all of their 643 Part D prescriptions were generic (98%). Innovation Technologies Inc reported $73.85 in payments in 2025, mostly food and beverage. Lists Legacy Good Samaritan Medical Center as a hospital affiliation.
Overview
| NPI | 1477030989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 26, 2018 |
| Last updated in NPPES | Mar 23, 2026 |
| Certified by provider | Mar 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA55757 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA55757 | CA |
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 (CA); Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 1,506 across 18 procedure codes |
| Paid by Medicare | $10,868 |
Part D prescriptions in 2024
| Prescriptions (claims) | 643 · 644 30-day fills |
|---|---|
| Patients | 261 |
| Total drug cost | $7,345 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Legacy Clinics LLCPortland, OR · 713 clinicians
- Prospect Chartercare Physicians LLCCranston, RI · 67 clinicians
Hospital affiliation
- Legacy Good Samaritan Medical CenterPortland, OR
Industry payments (Open Payments)
- 2025$73.85 · 1 payment from 1 company
- 2024$192.60 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Innovation Technologies Inc | $73.85 | 1 |
What the 2025 payments were for
- Food and Beverage$73.85 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 466 physician assistants in Portland · All physician assistants in Oregon