DR. STEVEN E ZINCK MD
NPI 1063482305
Specialist in Portland, OR


Quality Rating: 80.9 out of 100 score

NPI Status: Active since January 26, 2006

Contact Information

9205 SW BARNES RD
PORTLAND, OR
ZIP 97225
Phone: (503) 216-4830
Fax: (503) 216-4850

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  • Individual
  • Male
  • Years of Experience 31
  • Specialist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STEVEN ZINCK

This page provides the complete NPI Profile along with additional information for Steven Zinck, a provider established in Portland, Oregon with a medical specialization in Specialist and more than 31 years of experience. He graduated from Un Of California, Irvine, College Of Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1063482305 assigned on January 2006. The practitioner's primary taxonomy code is 174400000X with license number 22942 (OR). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1063482305
Provider Name
DR. STEVEN E ZINCK MD
Gender
Male
Entity Type
Individual
Location Address
9205 SW BARNES RD PORTLAND, OR 97225
Location Phone
(503) 216-4830
Location Fax
(503) 216-4850
Mailing Address
9400 SW BARNES RD SUITE 307 PORTLAND, OR 97225
Mailing Phone
(503) 292-9108
Mailing Fax
(503) 216-4850
Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduation Year
1995
Is Sole Proprietor?
No
Enumeration Date
01-26-2006
Last Update Date
07-16-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
22942
License State
OR
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
118964MEDICARE ID-TYPE UNSPECIFIED (04)OR 
287537MEDICAID (05)OR 
H13418MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Steven Zinck is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Steven Zinck is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860473253

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040601000675

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ct scan head or brain without contrast

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

This service was performed 62 times for 62 patients

Ct scan of abdomen and pelvis with contrast

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

This service was performed 50 times for 50 patients

Ct scan of abdomen and pelvis without contrast

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

This service was performed 24 times for 24 patients

Ct scan of blood vessels and grafts of heart with contrast

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

This service was performed 54 times for 54 patients

Ct scan of blood vessels of abdomen and pelvis with contrast

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

This service was performed 80 times for 80 patients

Ct scan of blood vessels of chest with contrast

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

This service was performed 161 times for 158 patients

Ct scan of blood vessels of head with contrast

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

This service was performed 16 times for 16 patients

Ct scan of blood vessels of neck with contrast

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

This service was performed 14 times for 14 patients

Ct scan of chest with contrast

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

This service was performed 71 times for 68 patients

Ct scan of chest with contrast

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

This service was performed 33 times for 32 patients

Ct scan of chest without contrast

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

This service was performed 147 times for 140 patients

Ct scan of chest without contrast

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

This service was performed 71 times for 71 patients

Ct scan of heart structure with contrast

A CT scan of the heart with contrast is a non-invasive test. A dye is injected into your veins, which helps to highlight heart structures in the images. The CT scanner uses X-rays to create detailed pictures of your heart, aiding in diagnosis.

This service was performed 28 times for 27 patients

Ct scan of heart with evaluation of blood vessel calcium

A CT scan of the heart with evaluation of blood vessel calcium is a non-invasive test that uses X-rays to create detailed images of your heart. It helps in detecting and measuring calcium-containing plaque in the arteries, which can indicate heart disease.

This service was performed 42 times for 42 patients

Ct scan of upper spine without contrast

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

This service was performed 19 times for 19 patients

Limited ultrasound scan of abdomen

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

This service was performed 14 times for 14 patients

Low dose ct scan of chest for lung cancer screening

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

This service was performed 107 times for 107 patients

Low dose ct scan of chest for lung cancer screening

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

This service was performed 51 times for 51 patients

Mri scan of brain without contrast

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

This service was performed 13 times for 13 patients

Mri scan of heart before and after contrast

An MRI scan of the heart with contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed pictures of your heart. The contrast dye improves the clarity of these images. This test helps in diagnosing heart conditions.

This service was performed 56 times for 56 patients

X-ray of abdomen, 1 view

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

This service was performed 48 times for 47 patients

X-ray of ankle, minimum of 3 views

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

This service was performed 15 times for 15 patients

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 1,037 times for 814 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 555 times for 528 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 124 times for 124 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 12 times for 12 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 27 times for 27 patients

X-ray of knee, 1-2 views

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

This service was performed 18 times for 18 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 12 times for 12 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 12 times for 12 patients

X-ray of pelvis, 1-2 views

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

This service was performed 13 times for 13 patients

X-ray of ribs on side of body, minimum of 3 views

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

This service was performed 37 times for 37 patients

X-ray of ribs on side of body, minimum of 3 views

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

This service was performed 13 times for 13 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 26 times for 25 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 80.9 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 77.53

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Steven Zinck is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PROVIDENCE ST VINCENT MEDICAL CENTER9205 SW BARNES ROAD
PORTLAND, OR 97225
(503) 216-2213Acute Care Hospitals
PROVIDENCE NEWBERG MEDICAL CENTER1001 PROVIDENCE DRIVE
NEWBERG, OR 97132
(503) 537-1555Acute Care Hospitals
PROVIDENCE PORTLAND MEDICAL CENTER4805 NE GLISAN STREET
PORTLAND, OR 97213
(503) 215-1111Acute Care Hospitals
PROVIDENCE SEASIDE HOSPITAL725 S WAHANNA ROAD
SEASIDE, OR 97138
(503) 717-7000Critical Access Hospitals
COLUMBIA MEMORIAL HOSPITAL2111 EXCHANGE STREET
ASTORIA, OR 97103
(503) 325-4321Critical Access Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063482305
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012388430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 8 + 4 + 3 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1063482305 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326041526DR. NATE D QUILICI M.D.
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-2181
1609869635 FREDRICK CHARLES WAGNER MD
Individual
Radiology (Radiation Oncology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-2195
1558342857 MARITZA MARTEL MD
Individual
Pathology (Anatomic Pathology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-7575
1902883911DR. JEFFERY THOMAS YOUNG MD
Individual
Psychiatry & Neurology (Psychiatry)9205 SW BARNES RD DEPT OF PSYCHIATRY
PORTLAND, OR 97225
(503) 216-2028
1194795500DR. ROSS A CAUTHORN MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1043280464DR. JUDITH L PETERS MD, PHD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1194795518DR. LEE W BALL MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1558331819DR. AMY S WEINSTEIN MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1891766911DR. JOHN D ROLL MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1861464034THE RADIOLOGY GROUP PC
Organization
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1295787059 ALAN K MORIMOTO MD
Individual
Radiology (Diagnostic Radiology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 292-9108
1336192574DR. BEN E JACOBSON M.D.
Individual
Radiology (Diagnostic Radiology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1093769259 ANTHONY J DIRE MD
Individual
Radiology (Diagnostic Radiology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1518902964 NATHAN E BACHTELL MD
Individual
Internal Medicine9205 SW BARNES RD 5TH FLOOR SOUTH
PORTLAND, OR 97225
(503) 216-2906
1366488645 STUART F HAYMAN CRNFA
Individual
Registered Nurse (Registered Nurse First Assistant)9205 SW BARNES RD MT 2800
PORTLAND, OR 97225
(503) 216-2621
1225065592 NABIL TARAZI MD
Individual
Surgery9205 SW BARNES RD
PORTLAND, OR 97225
(503) 464-9875
1104854454 CAROL M BAIRD MD
Individual
Internal Medicine9205 SW BARNES RD SUITE MT 2800
PORTLAND, OR 97225
(503) 216-2621
1962431379 JENNIFER L BOWMAN MD
Individual
Psychiatry & Neurology (Psychiatry)9205 SW BARNES RD SUITE 5E
PORTLAND, OR 97225
(503) 215-6494
1386673903 STEVEN D HUNSAKER MD
Individual
Internal Medicine9205 SW BARNES RD 5TH FLOOR SOUTH
PORTLAND, OR 97225
(503) 216-2906
1982634820 PAULA S MOOS PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)9205 SW BARNES RD 7W
PORTLAND, OR 97225
(503) 216-2028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063482305, enumerated in the NPI registry as an "individual" on January 26, 2006

The provider is located at 9205 Sw Barnes Rd Portland, Or 97225 and the phone number is (503) 216-4830

The provider's speciality is Specialist with taxonomy code 174400000X

The provider has more than 31 years of experience. He graduated from Un Of California, Irvine, College Of Medicine in 1995.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Ct scan head or brain without contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels and grafts of heart with contrast, Ct scan of blood vessels of abdomen and pelvis with contrast, Ct scan of blood vessels of chest with contrast, Ct scan of blood vessels of head with contrast, Ct scan of blood vessels of neck with contrast, Ct scan of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of chest without contrast, Ct scan of heart structure with contrast, Ct scan of heart with evaluation of blood vessel calcium, Ct scan of upper spine without contrast, Limited ultrasound scan of abdomen, Low dose ct scan of chest for lung cancer screening, Low dose ct scan of chest for lung cancer screening, Mri scan of brain without contrast, Mri scan of heart before and after contrast, X-ray of abdomen, 1 view, X-ray of ankle, minimum of 3 views, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of chest, 2 views, X-ray of foot, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of lower and sacral spine, 2-3 views, X-ray of pelvis, 1-2 views, X-ray of ribs on side of body, minimum of 3 views, X-ray of ribs on side of body, minimum of 3 views and X-ray of shoulder, minimum of 2 views.

The practitioner is affiliated to the following hospital(s): PROVIDENCE ST VINCENT MEDICAL CENTER, PROVIDENCE NEWBERG MEDICAL CENTER, PROVIDENCE PORTLAND MEDICAL CENTER, PROVIDENCE SEASIDE HOSPITAL and COLUMBIA MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on January 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.