MS. CAROLE GAGLIONE NP
NPI 1245247907
Nurse Practitioner - Pediatrics in Portland, OR

Active since August 02, 2006PECOS Enrolled
12710 SE DIVISION ST, MID COUNTY HEALTH CLINIC, PORTLAND, OR 97236(503) 988-3601(503) 988-4452 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carole Gaglione Np NPPES

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

MS. CAROLE GAGLIONE NP (NPI 1245247907) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (086006540N2NP) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245247907
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. CAROLE GAGLIONECredential: NP
Location Address12710 SE DIVISION ST, MID COUNTY HEALTH CLINICPortland, OR 97236
Mailing Address421 Sw Oak St, #210Portland, OR 97204 · (503) 988-3663 · Fax (503) 988-4098
Fax(503) 988-4452
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 16, 2010
NPI 1245247907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OR · 086006540N2NP
12710 SE DIVISION ST, Portland, OR 97236

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Carole Gaglione 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97236 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.

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.

Reported Quality Measures

Appropriate Treatment for Children with Upper Respiratory Infection (URI)
Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode
88%135 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
52%33 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
46%913 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
68%399 patients3/55-star benchmark: 96%
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period
35%1,469 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 12% · 1,046 patients
Patients physicalActivity: 64% · 1,046 patients
99%1,046 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Social Worker (Clinical)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Physician Assistant (Medical)
12710 SE DIVISION ST
PORTLAND, OR 97236
Nurse Practitioner (Family)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Clinic/Center (Federally Qualified Health Center (FQHC))
12710 SE DIVISION ST
PORTLAND, OR 97236

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 Carole Gaglione's NPI number?

The NPI number for Carole Gaglione is 1245247907. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Carole Gaglione located?

Carole Gaglione practices at 12710 SE Division St Mid County Health Clinic, Portland, OR 97236. The listed phone number is (503) 988-3601.

What is Carole Gaglione's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Carole Gaglione enrolled in Medicare?

Yes. Carole Gaglione is registered in the Medicare PECOS enrollment system.

What insurance does Carole Gaglione accept?

Health plans from PacificSource Health Plans list Carole Gaglione 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 Carole Gaglione was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.