Doctor profile · Federal record

Dr. Stacy Rudy, PA-C

Physician Assistant · Portland, OR

  • NPI 1154713188
  • Accepts Medicare
  • 10 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6640 Sw Redwood Ln
Portland, OR 972247187
(503) 620-7358
Mailing address
800 Sw 13Th Ave
Portland, OR 972051902

Credentials & registration

NPPES · NUCC
NPI registered
February 2015 — 11 yrs on file
Profile last updated
November 18, 2020
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Oregon #PA179627

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154713188. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
150
Distinct HCPCS
4
Medicare allowed
$10,014
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 55 41 $113
99213 Established patient office or other outpatient visit, 20-29 minutes 42 38 $80
36415 Insertion of needle into vein for collection of blood sample 40 30 $8
80053 Blood test, comprehensive group of blood chemicals 13 13 $10

In context: peer comparison

Among 114 peers in Portland Physician Assistant, average services per provider: 61. This provider delivers 2.5× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
622
Patients
207
Total drug cost
$12,298
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 112 44 $1,508
Levothyroxine Sodium Generic 67 27 $1,243
Losartan Potassium Generic 66 32 $1,171
Amlodipine Besylate Generic 61 24 $492
Gabapentin Generic 46 22 $1,077
Lisinopril Generic 39 18 $283
Hydrochlorothiazide Generic 35 16 $300
Rosuvastatin Calcium Generic 32 12 $429
Omeprazole Generic 27 0 $593
Tamsulosin Hcl Generic 24 0 $436

Frequently asked questions

Auto-generated from federal data
What is Dr. Stacy Rudy's medical specialty?
Dr. Stacy Rudy practices Physician Assistant in Portland, OR.
Where does Dr. Stacy Rudy practice?
Dr. Stacy Rudy practices at 6640 Sw Redwood Ln, Portland, OR 972247187. Office phone: 5036207358.
What is Dr. Stacy Rudy's NPI?
Dr. Stacy Rudy's National Provider Identifier (NPI) is 1154713188, issued by NPPES.
Does Dr. Stacy Rudy accept Medicare assignment?
Yes. Dr. Stacy Rudy accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stacy Rudy commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.