PACIFIC PATHOLOGY ASSOCIATES, INC.
NPI 1205997889
Pathology - Anatomic Pathology & Clinical Pathology in Salem, OR
About Pacific Pathology Associates, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC PATHOLOGY ASSOCIATES, INC. (NPI 1205997889) is a healthcare organization registered as an anatomic pathology & clinical pathology in Salem, Oregon and active in the NPI registry since December 2006. The organization holds an CLIA Accreditation certificate valid through December 31, 2027 and lists Clark E Mcdonald, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Pathology Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Pacific Pathology Associates, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 26Salem, OR 97301
Portland, OR 97210
Portland, OR 97227
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 38D0625543
Pacific Pathology Associates, Hospital · Salem, ORFrequently 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 Pacific Pathology Associates, Inc.'s NPI number?
The NPI number for Pacific Pathology Associates, Inc. is 1205997889. It was assigned to this organization in the NPPES registry on December 13, 2006.
Where is Pacific Pathology Associates, Inc. located?
Pacific Pathology Associates, Inc. is located at 665 Winter St SE, Salem, OR 97301. The listed phone number is (503) 561-5350.
What is Pacific Pathology Associates, Inc.'s specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Pacific Pathology Associates, Inc. enrolled in Medicare?
Yes. Pacific Pathology Associates, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Pathology Associates, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians, all in Pathology, reassign their Medicare billing to Pacific Pathology Associates, Inc.. A 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 the clinician's services. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pacific Pathology Associates, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 38D0625543) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pacific Pathology Associates, Inc. accept?
Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Pacific Pathology Associates, Inc. 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 Pacific Pathology Associates, Inc. was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Pacific Pathology Associates, Inc. · NPI 1205997889
Anatomic Pathology & Clinical Pathology organization in Salem, Oregon. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1205997889 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Clark Mcdonald, PRESIDENT
## Practice location
- **Address:** 665 WINTER ST SE, Salem, OR 97301-3934
- **Phone:** (503) 561-5350 · **Fax:** (503) 561-4781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address; [full list](https://npiprofile.com/npi/1205997889/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2014
- **Other identifiers:** Medicaid 006465 (OR); Medicare ID-Type Unspecified 0000WCJWB (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205997889) · Data from the CMS NPPES public registry.