Providence Health & Services Oregon
NPI 1003319724 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1003319724
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
886 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Behavioral Counseling for Diabetes Prevention, Distance Learning, 60 MinutesG9887 | 773 | $25 |
| Maintenance 5% Wl From Baseline Weight in Months 7-12G9888 | 81 | $8 |
| The Mdpp Beneficiary Achieved at Least 5% Weight Loss (wl) From His/Her Baseline Weight in Months 1-12 of the Mdpp Services Period Under the Mdpp Expanded Model (em). This Is a One-Time Payment Available When a Beneficiary First Achieves at Least 5% WeightG9880 | 21 | $142 |
| The Mdpp Beneficiary Achieved at Least 9% Weight Loss (wl) From His/Her Baseline Weight in Months 1-24 Under the Mdpp Expanded Model (em). This Is a One-Time Payment Available When a Beneficiary First Achieves at Least 9% Weight Loss From Baseline As MeasuG9881 | 11 | $25 |
Typical Medicare-allowed amounts for these services range $8–$142 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group
Registry dates
- Enumerated
- 2018-03-09
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.