BRENT D FISK PSYD
NPI 1124418561
Psychologist - Clinical in Newberg, OR

Active since January 23, 2015PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
1003 PROVIDENCE DR STE 110, NEWBERG, OR 97132(503) 537-5900 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2020, Nov 4, 2019, Nov 10, 2015 (3 updates tracked since 2015).

About Brent D Fisk Psyd NPPES

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

BRENT D FISK PSYD (NPI 1124418561) is an individual clinical provider in Newberg, Oregon, licensed in Oregon (3093) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mcminnville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124418561
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameBRENT D FISKCredential: PSYD
Location Address1003 PROVIDENCE DR STE 110Newberg, OR 97132-7521
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 23, 2015
Last NPPES UpdateOctober 6, 20203 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
NPI 1124418561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 3093
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1003 PROVIDENCE DR STE 110, Newberg, OR 97132

Secondary Practice Location 1

Location 1672 NE Evans StMcMinnville, OR 97128 · Phone (503) 434-7505

Accepted 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

Brent D Fisk Psyd 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 ID3779916887
PECOS Enrollment IDI20191204000372
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
53 services26 patients
Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
36 services34 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97132 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
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 3

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

Family Medicine
1003 PROVIDENCE DR STE 110
NEWBERG, OR 97132
Physician Assistant
1003 PROVIDENCE DR STE 110
NEWBERG, OR 97132
Physician Assistant
1003 PROVIDENCE DR STE 110
NEWBERG, OR 97132

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 Brent Fisk's NPI number?

The NPI number for Brent Fisk is 1124418561. It was assigned to this individual provider in the NPPES registry on January 23, 2015.

Where is Brent Fisk located?

Brent Fisk practices at 1003 Providence Dr Ste 110, Newberg, OR 97132. The listed phone number is (503) 537-5900.

What is Brent Fisk's specialty?

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

Is Brent Fisk enrolled in Medicare?

Yes. Brent Fisk 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 Brent Fisk accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Brent Fisk 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 Brent Fisk was last updated on October 6, 2020. 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.