HILLSBORO PEDIATRIC CLINIC LLC
NPI 1245312842
Pediatrics in Hillsboro, OR
About Hillsboro Pediatric Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HILLSBORO PEDIATRIC CLINIC LLC (NPI 1245312842) is a healthcare organization registered as a pediatrics in Hillsboro, Oregon and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027, maintains a secondary practice location in Hillsboro, and lists Ginger Mcdonald, Cpa/administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hillsboro Pediatric Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Hillsboro Pediatric Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (19)
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 Waiver 38D0673119
Hillsboro Pediatric Clinic LLC · Hillsboro, 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 Hillsboro Pediatric Clinic LLC's NPI number?
The NPI number for Hillsboro Pediatric Clinic LLC is 1245312842. It was assigned to this organization in the NPPES registry on October 20, 2006.
Where is Hillsboro Pediatric Clinic LLC located?
Hillsboro Pediatric Clinic LLC is located at 445 E Main St, Hillsboro, OR 97123. The listed phone number is (503) 640-2757.
What is Hillsboro Pediatric Clinic LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Hillsboro Pediatric Clinic LLC enrolled in Medicare?
Yes. Hillsboro Pediatric Clinic LLC is registered in the Medicare PECOS enrollment system.
When is Hillsboro Pediatric Clinic LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hillsboro Pediatric Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 3 Medicare specialties reassign their Medicare billing to Hillsboro Pediatric Clinic LLC. 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. The largest specialties are Nurse Practitioner (9), Pediatric Medicine (9) and Clinical Social Worker (1). Of these, 2 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hillsboro Pediatric Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D0673119) 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 Hillsboro Pediatric Clinic LLC accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Hillsboro Pediatric Clinic LLC 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 Hillsboro Pediatric Clinic LLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Hillsboro Pediatric Clinic Llc · NPI 1245312842
Pediatrics organization in Hillsboro, Oregon. Organization record, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1245312842 (Entity type: Organization)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Ginger Mcdonald, CPA/ADMINISTRATOR
## Practice location
- **Address:** 445 E MAIN ST, Hillsboro, OR 97123-4084
- **Phone:** (503) 640-2757 · **Fax:** (503) 640-9753
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 19 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Pediatric Medicine (9), Clinical Social Worker (1); 2 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2020
- **Other identifiers:** Other 1245312842; Other 023873000 (OR); Other R163532; and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245312842) · Data from the CMS NPPES public registry.