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ALEXA NICOLE THAVORN I OD
NPI 1083205074
Optometrist in Portland, OR

Active since February 01, 2021PECOS EnrolledAccepts Medicare Assignment
11805 NW CEDAR FALLS DR STE 105, PORTLAND, OR 97229(503) 747-0265 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexa Nicole Thavorn I Od NPPES

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

ALEXA NICOLE THAVORN I OD (NPI 1083205074) is an individual optometrist in Portland, Oregon, licensed in Oregon (ATI4556) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2020).

NPPES Registry Identity

NPI1083205074
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALEXA NICOLE THAVORN ICredential: OD
Location Address11805 NW CEDAR FALLS DR STE 105Portland, OR 97229-2780
Mailing Address2621 Ne 7th Ave Apt 404Portland, OR 97212-3179 · (714) 478-2676
Phone(503) 747-0265
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2020
Enumeration DateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
✔ NPI 1083205074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OR · ATI4556
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
11805 NW CEDAR FALLS DR STE 105, Portland, OR 97229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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

Alexa Nicole Thavorn I Od 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 ID345657078
PECOS Enrollment IDI20210325001199
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97229 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alexa Thavorn's NPI number?

The NPI number for Alexa Thavorn is 1083205074. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Alexa Thavorn located?

Alexa Thavorn practices at 11805 NW Cedar Falls Dr Ste 105, Portland, OR 97229. The listed phone number is (503) 747-0265.

What is Alexa Thavorn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Alexa Thavorn enrolled in Medicare?

Yes. Alexa Thavorn 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.

What insurance does Alexa Thavorn accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Alexa Thavorn 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 Alexa Thavorn was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.