ALEXA NICOLE THAVORN I OD
NPI 1083205074
Optometrist in Portland, OR
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Alexa Thavorn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Thomas M Barreto Od PC
- 4 clinicians in this Medicare group
Portland, OR 97212
- Reassigned Medicare billing, Oregon enrollment
- 9 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 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.
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.
Which organizations bill Medicare for Alexa Thavorn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Thavorn reassigns Medicare benefits to 2 organizations: Thomas M. Barreto, O.D., P.C. (Portland, OR) and Hoban Vision, Inc. (Portland, OR). Each 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 Alexa Thavorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexa Thavorn accept?
Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer 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.
# Alexa Nicole Thavorn I, OD · NPI 1083205074
Optometrist provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since February 1, 2021.
## Identity
- **NPI:** 1083205074 (Entity type: Individual)
- **Enumerated:** February 1, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** ATI4556 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 11805 NW CEDAR FALLS DR STE 105, Portland, OR 97229-2780
- **Phone:** (503) 747-0265
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thomas M. Barreto, O.D., P.C. (NPI 1174662951, Portland, OR); Hoban Vision, Inc. (NPI 1285271551, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2020
## Record status
- **NPPES last updated:** February 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083205074) · Data from the CMS NPPES public registry.