Leslie Gustafson, PA-C
NPI 1922405059ActiveIndividual· Physician Assistant· Lake Oswego, OR
Physician Assistant (PA-C) with Providence Health and Services Oregon, practicing in Lake Oswego, Oregon. Their prescriptions cost Medicare Part D more than their services did: $62,136 for 560 claims, against $5,694 paid for services in 2024. Lists Providence Milwaukie Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1922405059 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 4, 2014 |
| Last updated in NPPES | Feb 12, 2021 |
| Certified by provider | Feb 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA170542 | 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 | 41 |
|---|---|
| Services billed | 92 across 22 procedure codes |
| Paid by Medicare | $5,694 |
Part D prescriptions in 2024
| Prescriptions (claims) | 560 · 1,046 30-day fills |
|---|---|
| Patients | 180 |
| Total drug cost | $62,136 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
Hospital affiliations
- Providence Milwaukie HospitalMilwaukie, OR
- Providence Portland Medical CenterPortland, OR
Other facilities
- Providence Home HealthHome health agency · Portland, 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 Lake Oswego
- 1457833394
- 1376370304
- 1306096185
- 1053960104
- 1457755886
- 1275127979
- 1699715227
- 1962518399
- 1457531147
- 1184914608
- 1851002869
- 1437675436