RACHEL MARIAN EFFROS MD
NPI 1356436554
Pediatrics in Portland, OR

NPI Status: Active since October 04, 2006

Contact Information

500 NE MULTNOMAH ST
STE 100
PORTLAND, OR
ZIP 97232
Phone: (503) 813-2221
Fax: (503) 813-3555

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  • Individual
  • Female
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About RACHEL EFFROS

This page provides the complete NPI Profile along with additional information for Rachel Effros, a pediatrician established in Portland, Oregon with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1356436554 assigned on October 2006. The practitioner's primary taxonomy code is 208000000X with license number C51656 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1356436554
Provider Name
RACHEL MARIAN EFFROS MD
Gender
Female
Entity Type
Individual
Location Address
500 NE MULTNOMAH ST STE 100 PORTLAND, OR 97232
Location Phone
(503) 813-2221
Location Fax
(503) 813-3555
Mailing Address
500 NE MULTNOMAH ST STE 100 PORTLAND, OR 97232
Mailing Phone
(503) 813-2221
Mailing Fax
(503) 813-3555
Is Sole Proprietor?
No
Enumeration Date
10-04-2006
Last Update Date
03-07-2023
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A pediatrician like Rachel Effros is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
C51656
License State
CA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

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

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO

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

Medicare Participation & PECOS Enrollment Status

Rachel Effros 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

  • 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97232 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.51
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $22.62
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.51
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $25.87
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for RACHEL MARIAN EFFROS MD

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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.
1356436554
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231068312510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 8 + 3 + 1 + 2 + 5 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1356436554 is valid because the calculated check digit 4 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
1487642047 LAURA L WOZNIAK LCSW
Individual
Social Worker (Clinical)500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(503) 643-7565
1366456303DR. MATTHEW GRAHAM ANTONY D.D.S.
Individual
Dentist500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(505) 813-4970
1659384196DR. ANDREW MARK LUM M.D.
Individual
Internal Medicine500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(503) 813-2800
1780697243DR. ROBERT STEVEN UNITAN M.D.
Individual
Internal Medicine (Pulmonary Disease)500 NE MULTNOMAH ST
PORTLAND, OR 97232
(503) 813-3860
1699883215DR. DON LEWIS PRASNIKAR DDS
Individual
Dentist (General Practice)500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(503) 813-4970
1780783514MS. CLAUDIA EUGENIA CHRISS MPT
Individual
Physical Therapist500 NE MULTNOMAH ST
PORTLAND, OR 97232
(503) 813-3860
1205904158DR. JOHN PALMER BRITTAN II D.M.D.
Individual
Dentist (General Practice)500 NE MULTNOMAH ST SUITE 150
PORTLAND, OR 97232
(503) 813-4940
1821157157DR. CRAIG ARTHUR SNYDER DMD
Individual
Dentist (General Practice)500 NE MULTNOMAH ST 100
PORTLAND, OR 97232
(503) 813-4940
1982824967MS. KATHY ROBIN KRISINSKI DENTAL ASSISTANT II
Individual
Dental Assistant500 NE MULTNOMAH ST SUITE 100 KAISER DENTAL STAFFING ON CALL
PORTLAND, OR 97232
(360) 513-5247
1669648630MR. ERVIN R. SIVERSON LCSW
Individual
Social Worker (Clinical)500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(503) 813-2000
1912174574 JENNIFER LYNN BURTON
Individual
Technician/Technologist (Optician)500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232
(503) 813-4167
1346408309 CONSTANCE LYNN COSTA RN
Individual
Registered Nurse500 NE MULTNOMAH ST
PORTLAND, OR 97232
(503) 813-4205
1174788582DR. EVIE PRECECHTIL MD
Individual
Student in an Organized Health Care Education/Training Program500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(180) 081-3376
1861727414KAISER PERMANENTE
Organization
Clinic/Center (Primary Care)500 NE MULTNOMAH ST
PORTLAND, OR 97232
(503) 813-2614
1326376518 ALEKSEY SYULYUKOV RRT
Individual
Respiratory Therapist, Registered500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(360) 909-2717
1750676987MS. SANDRA LOUISE MACKEY MPAS, PA-C
Individual
Physician Assistant500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(503) 813-2000
1891733028 REBECCA K STEPANIAK M.D.
Individual
Pediatrics500 NE MULTNOMAH ST SUITE 100
PORTLAND, OR 97232
(503) 813-2355
1184637548 JEFFREY CRAIG HULSE CRNA
Individual
Nurse Anesthetist, Certified Registered500 NE MULTNOMAH ST
PORTLAND, OR 97232
(503) 813-2000
1669588828DR. WILEY VERNON CHAN MD
Individual
Internal Medicine500 NE MULTNOMAH ST SUITE 100, KPB-2
PORTLAND, OR 97232
(503) 813-3860
1689042079 BECKY RUSSELL
Individual
Specialist500 NE MULTNOMAH ST
PORTLAND, OR 97232
(503) 813-3477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356436554, enumerated in the NPI registry as an "individual" on October 04, 2006

The provider is located at 500 Ne Multnomah St Ste 100 Portland, Or 97232 and the phone number is (503) 813-2221

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Kaiser Permanente. 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.

Medicare beneficiaries should expect a typical cost of $90.51 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $103.51 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on October 04, 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.