DR. FREDERICK ANTHONY TIBAYAN MD
NPI 1174719686
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portland, OR
About Dr. Frederick Anthony Tibayan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FREDERICK ANTHONY TIBAYAN MD (NPI 1174719686) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Portland, Oregon, licensed in Oregon (MD126341) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Harvard Medical School (1998).
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
Dr. Frederick Anthony Tibayan Md 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 Frederick Tibayan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 307 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Frederick Tibayan's NPI number?
The NPI number for Frederick Tibayan is 1174719686. It was assigned to this individual provider in the NPPES registry on September 18, 2007.
Where is Frederick Tibayan located?
Frederick Tibayan practices at 3181 SW Sam Jackson Park Rd Mail Code: L353, Portland, OR 97239. The listed phone number is (503) 494-7820.
What is Frederick Tibayan's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Frederick Tibayan enrolled in Medicare?
Yes. Frederick Tibayan 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 Frederick Tibayan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Tibayan reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Peacehealth (Vancouver, WA). 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 Frederick Tibayan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Frederick Tibayan accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Frederick Tibayan 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.
Is Frederick Tibayan affiliated with any hospitals?
According to CMS data, Frederick Tibayan is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Frederick Tibayan was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Frederick Anthony Tibayan, MD · NPI 1174719686
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 18, 2007.
## Identity
- **NPI:** 1174719686 (Entity type: Individual)
- **Enumerated:** September 18, 2007
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** MD126341 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, MAIL CODE: L353, Portland, OR 97239-3011
- **Phone:** (503) 494-7820
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1376709535, Portland, OR); Peacehealth (NPI 1609061969, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 1998
## Record status
- **NPPES last updated:** January 7, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1174719686) · Data from the CMS NPPES public registry.