MARY BOGLE
NPI 1083744536
Psychologist - Clinical in Portland, OR

Q: What is Mary Bogle's NPI number?

The NPI number for Mary Bogle is 1083744536. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Mary Bogle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bogle was last updated on December 3, 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 March 06, 2007PECOS EnrolledAccepts Medicare Assignment

520 SW 6TH AVE, STE 830, PORTLAND, OR 97204(530) 917-8877(530) 245-9222 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Bogle NPPES

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

MARY BOGLE (NPI 1083744536) is an individual clinical provider in Portland, Oregon, licensed in California (20469) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1083744536

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARY BOGLE

Location Address520 SW 6TH AVE, STE 830Portland, OR 97204-1514

Mailing Address520 Sw 6th Ave, Ste 830Portland, OR 97204-1514 · (530) 917-8877 · Fax (530) 245-9222

Phone(530) 917-8877

Fax(530) 245-9222

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 6, 2007

Last NPPES UpdateDecember 3, 2019

✔ NPI 1083744536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 20469

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

520 SW 6TH AVE, Portland, OR 97204

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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., Regence BlueCross BlueShield of Oregon.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

Mary Bogle 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 ID7517186240

PECOS Enrollment IDI20200121002636

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 97204 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

$176.88 typical visit price

range $58.99 – $176.88

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

Most-billed visit code 99205

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.

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 Mary Bogle's NPI number?

The NPI number for Mary Bogle is 1083744536. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Mary Bogle located?

Mary Bogle practices at 520 SW 6th Ave Ste 830, Portland, OR 97204. The listed phone number is (530) 917-8877.

What is Mary Bogle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Bogle enrolled in Medicare?

Yes. Mary Bogle 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 Mary Bogle accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mary Bogle 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 Mary Bogle was last updated on December 3, 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.