DR. MARK IRA RECK PSYD
NPI 1063155513
Psychologist - Clinical in Portland, OR
About Dr. Mark Ira Reck Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK IRA RECK PSYD (NPI 1063155513) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3539) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mark Ira Reck Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Reck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97214
- Reassigned Medicare billing, Oregon enrollment
- 60 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 97205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97205
PORTLAND, OR 97205
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 Mark Reck's NPI number?
The NPI number for Mark Reck is 1063155513. It was assigned to this individual provider in the NPPES registry on April 13, 2022.
Where is Mark Reck located?
Mark Reck practices at 812 SW Washington St Ste 700, Portland, OR 97205. The listed phone number is (503) 622-8964.
What is Mark Reck's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mark Reck enrolled in Medicare?
Yes. Mark Reck is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Reck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Reck reassigns Medicare benefits to Larsen Sanchez Psychology, LLC (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 Mark Reck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Reck accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Mark Reck 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 Mark Reck was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mark Ira Reck, PSYD · NPI 1063155513
Clinical provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 13, 2022.
## Identity
- **NPI:** 1063155513 (Entity type: Individual)
- **Enumerated:** April 13, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3539 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 812 SW WASHINGTON ST STE 700, Portland, OR 97205-3200
- **Phone:** (503) 622-8964
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Larsen Sanchez Psychology, LLC (NPI 1588041388, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063155513) · Data from the CMS NPPES public registry.