BRUCE ALAN BOSTON MD
NPI 1003821505
Pediatrics - Pediatric Endocrinology in Portland, OR
About Bruce Alan Boston Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRUCE ALAN BOSTON MD (NPI 1003821505) is an individual pediatric endocrinology provider in Portland, Oregon, licensed in Oregon (MD16035) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bruce Alan Boston Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Bruce Boston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1881848307 (Washington)
- 2,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bruce Boston's NPI number?
The NPI number for Bruce Boston is 1003821505. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Bruce Boston located?
Bruce Boston practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-1926.
What is Bruce Boston's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Bruce Boston enrolled in Medicare?
Yes. Bruce Boston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bruce Boston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Boston reassigns Medicare benefits to University Professional Services (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bruce Boston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bruce Boston accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Bruce Boston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bruce Boston was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bruce Alan Boston, MD · NPI 1003821505
Pediatric Endocrinology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1003821505 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** MD16035 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-1926
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1376709535, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** August 13, 2007
- **Other identifiers:** Medicaid 072582 (OR); Medicare UPIN G03486
---
Source: [NPI Profile](https://npiprofile.com/npi/1003821505) · Data from the CMS NPPES public registry.