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MR. DONALD UPTON NP
NPI 1154694941
Nurse Practitioner - Adult Health in Portland, OR

Active since February 09, 2012PECOS Enrolled
6959 N FENWICK AVE, PORTLAND, OR 97217(971) 998-2534 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Donald Upton Np NPPES

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

MR. DONALD UPTON NP (NPI 1154694941) is an individual adult health provider in Portland, Oregon, licensed in Oregon (200550166NP) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154694941
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. DONALD UPTONCredential: NP
Location Address6959 N FENWICK AVEPortland, OR 97217-5305
Mailing Address9900 Se Sunnyside Rd, Orthopedics DepartmentClackamas, OR 97015-9777 · (503) 652-2880
Phone(971) 998-2534
Sole ProprietorNo
Enumeration DateFebruary 9, 2012
✔ NPI 1154694941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OR · 200550166NP
6959 N FENWICK AVE, Portland, OR 97217
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Donald Upton Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Upton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
3.2 mi
General Practice
500 NE MULTNOMAH ST
Portland, OR 97232
  • Reassigned Medicare billing, Washington enrollment
  • 2,534 clinicians in this Medicare group
NPI 1184786527 (503) 813-2440

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 97217 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.

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 Donald Upton's NPI number?

The NPI number for Donald Upton is 1154694941. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Donald Upton located?

Donald Upton practices at 6959 N Fenwick Ave, Portland, OR 97217. The listed phone number is (971) 998-2534.

What is Donald Upton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Donald Upton enrolled in Medicare?

Yes. Donald Upton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Upton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Upton reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). The 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 Donald Upton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Upton was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.