Lisa Andersen
NPI 1730484312ActiveIndividual· Physician Assistant, Surgical· Portland, OR
Physician Assistant, Surgical with Legacy Clinics LLC and 1 other group, practicing in Portland, Oregon. 76 Medicare patients in 2024, $7,321 paid; nearly all of their 96 Part D prescriptions were generic (94%). Lists Legacy Emanuel Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1730484312 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 13, 2011 |
| Last updated in NPPES | Feb 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA160150 | 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); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 174 across 16 procedure codes |
| Paid by Medicare | $7,321 |
Part D prescriptions in 2024
| Prescriptions (claims) | 96 · 96 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $672.32 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Legacy Clinics LLCPortland, OR · 713 clinicians
- Legacy Salmon Creek HospitalPortland, OR · 301 clinicians
Hospital affiliations
- Legacy Emanuel Medical CenterPortland, OR
- Legacy Good Samaritan Medical CenterPortland, OR
- Legacy Salmon Creek Medical CenterVancouver, WA
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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