JOSE M CARRILLO-CASTRO MD
NPI 1154173060
Family Medicine in Portland, OR

Q: What is Jose Carrillo-castro's NPI number?

The NPI number for Jose Carrillo-castro is 1154173060. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Q: What is Jose Carrillo-castro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 03, 2024PECOS Enrolled

4104 SE 82ND AVE STE 250, PORTLAND, OR 97266(503) 215-9850 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2025, Apr 3, 2024 (2 updates tracked since 2024).

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About Jose M Carrillo-castro Md NPPES

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

JOSE M CARRILLO-CASTRO MD (NPI 1154173060) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (PG225197) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154173060

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSE M CARRILLO-CASTROCredential: MD

Location Address4104 SE 82ND AVE STE 250Portland, OR 97266-2954

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 215-9850

Sole ProprietorNo

Enumeration DateApril 3, 2024

Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1154173060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · PG225197✔ Licensed in OR · PG220055

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4104 SE 82ND AVE STE 250, Portland, OR 97266

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose M Carrillo-castro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97266 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 8

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

DR. BEN LAWRENCE PEDERSON M.D.

Family Medicine