TARA PFAFF FNP-BC
NPI 1053840330
Nurse Practitioner - Family in Sandy, OR

Q: What is Tara Pfaff's NPI number?

The NPI number for Tara Pfaff is 1053840330. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Tara Pfaff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Pfaff was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment

86.03/100

CMS Quality Rating

36860 INDUSTRIAL WAY, SANDY, OR 97055(503) 826-0206 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2019, Oct 25, 2017, Jun 8, 2017 (3 updates tracked since 2017).

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About Tara Pfaff Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA PFAFF FNP-BC (NPI 1053840330) is an individual family provider in Sandy, Oregon, licensed in Oregon (201405290NP-PP) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053840330

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA PFAFFCredential: FNP-BC

Location Address36860 INDUSTRIAL WAYSandy, OR 97055

Mailing Address36860 Industrial WaySandy, OR 97055-7371 · (503) 826-0206

Phone(503) 826-0206

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 8, 2017

Last NPPES UpdateNovember 25, 20193 updates tracked since enumeration

✔ NPI 1053840330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 201405290NP-PP

36860 INDUSTRIAL WAY, Sandy, OR 97055

Open in Google Maps ↗

Other Identifiers 1

Other00Do Not Have (need Npi To Get Medicaid Id)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Pfaff Fnp-bc 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.

PECOS PAC ID3870864424

PECOS Enrollment IDI20170801001218

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380025

Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

86.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.8

Promoting Interoperability

Improvement Activities

Cost

74.15

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$15.77 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$3.39 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$67.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN SCHULZ D.O.

Family Medicine