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DR. JENNY LUPOVICI WILSON M.D.
NPI 1205094406
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Portland, OR

Active since May 26, 2008PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
707 SW GAINES ST, PORTLAND, OR 97239(503) 494-9113 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jenny Lupovici Wilson M.d. NPPES

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

DR. JENNY LUPOVICI WILSON M.D. (NPI 1205094406) is an individual neurology with special qualifications in child neurology provider in Portland, Oregon, licensed in Oregon (MD162292) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2008).

NPPES Registry Identity

NPI1205094406
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. JENNY LUPOVICI WILSONCredential: M.D.
Location Address707 SW GAINES STPortland, OR 97239-2901
Mailing Address707 Sw Gaines StPortland, OR 97239-2901 · (503) 804-6824
Phone(503) 494-9113
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2008
Enumeration DateMay 26, 2008
Last NPPES UpdateMay 21, 2013
✔ NPI 1205094406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in OR · MD162292✔ Licensed in PA · MD441944
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
707 SW GAINES ST, Portland, OR 97239
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Dr. Jenny Lupovici Wilson M.d. 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 ID3971744129
PECOS Enrollment IDI20130730000887
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 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.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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.

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

MS. MARGARET WOLF
Occupational Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8095
MRS. LEAH BJORNSKOV WESSENBERG FNP
Nurse Practitioner (Family)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-7859
DR. MICHAEL AVRAM HARRIS PH.D.
Psychologist (Clinical Child & Adolescent)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8942
DANIELLE MOYER PHD
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-6337
DAVID L. OLESON PT
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (800) 452-3563
JESSICA NASON
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (860) 917-2128
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-9000
OREGON HEALTH AND SCIENCE UNIVERSITY
Clinic/Center
707 SW GAINES ST, MAILCODE: CDRC -- ATTN: JEFF REHA
PORTLAND, OR 97239
Multnomah County (503) 494-2709

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 Jenny Wilson's NPI number?

The NPI number for Jenny Wilson is 1205094406. It was assigned to this individual provider in the NPPES registry on May 26, 2008.

Where is Jenny Wilson located?

Jenny Wilson practices at 707 SW Gaines St, Portland, OR 97239. The listed phone number is (503) 494-9113.

What is Jenny Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Jenny Wilson enrolled in Medicare?

Yes. Jenny Wilson 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 Jenny Wilson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jenny Wilson 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 Jenny Wilson was last updated on May 21, 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.