Doctor profile · Federal record
Dr. Kamylli Mendive, PA-C
Physician Assistant · Physician Assistant · Tigard, OR
- NPI 1821653254
- Accepts Medicare
- 6 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12442 Sw Scholls Ferry RD Ste 100
Tigard, OR 972230803
(503) 216-9200 - Mailing address
-
Po Box 3158
Portland, OR 972083158
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- September 30, 2024
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Oregon #PA202793 · California #58813
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821653254. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
40
Distinct HCPCS
2
Medicare allowed
$4,043
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $111 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 18 | 17 | $89 |
In context: peer comparison
Among 13 peers in Tigard Physician Assistant, average services per provider: 55. This provider delivers 0.7× the peer median.Open Payments
Industry payments received
All-time total
$27
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $26.82 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,125
Patients
575
Total drug cost
$15,590
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 215 | 112 | $2,686 |
| Amlodipine Besylate | Generic | 113 | 63 | $1,289 |
| Levothyroxine Sodium | Generic | 101 | 57 | $1,843 |
| Losartan Potassium | Generic | 99 | 57 | $934 |
| Lisinopril | Generic | 67 | 39 | $651 |
| Sertraline Hcl | Generic | 67 | 25 | $1,365 |
| Metformin Hcl | Generic | 63 | 36 | $971 |
| Metoprolol Succinate | Generic | 63 | 28 | $1,209 |
| Rosuvastatin Calcium | Generic | 58 | 26 | $1,121 |
| Gabapentin | Generic | 49 | 24 | $920 |
Hospital affiliations
Frequently asked questions
What is Dr. Kamylli Mendive's medical specialty?
Dr. Kamylli Mendive practices Physician Assistant in Tigard, OR.
Where does Dr. Kamylli Mendive practice?
Dr. Kamylli Mendive practices at 12442 Sw Scholls Ferry RD Ste 100, Tigard, OR 972230803. Office phone: 5032169200.
What is Dr. Kamylli Mendive's NPI?
Dr. Kamylli Mendive's National Provider Identifier (NPI) is 1821653254, issued by NPPES.
Does Dr. Kamylli Mendive accept Medicare assignment?
Yes. Dr. Kamylli Mendive accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kamylli Mendive commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.