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MASON D SPONG PA-C
NPI 1255193785
Physician Assistant in Portland, OR

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment
2701 NW VAUGHN ST STE 470, PORTLAND, OR 97210(503) 751-2216(503) 296-2022 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mason D Spong Pa-c NPPES

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

MASON D SPONG PA-C (NPI 1255193785) is an individual physician assistant in Portland, Oregon, licensed in Oregon (214752) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2023).

NPPES Registry Identity

NPI1255193785
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMASON D SPONGCredential: PA-C
Location Address2701 NW VAUGHN ST STE 470Portland, OR 97210-5326
Mailing Address3265 Ne Alberta StPortland, OR 97211-7040 · (985) 264-4859
Phone(503) 751-2216
Fax(503) 296-2022
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2023
Enumeration DateJanuary 30, 2024
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1255193785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · 214752
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2701 NW VAUGHN ST STE 470, Portland, OR 97210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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

Mason D Spong Pa-c 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 ID6406294255
PECOS Enrollment IDI20240329001547, I20240329002316
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868
This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.
331 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services14 patients
Treatment using magnetic field to stimulate nerve cells in brain, subsequent motor threshold redetermination with delivery and management 90869
This treatment involves using a magnetic field to activate nerve cells in your brain. It's followed by re-evaluating your motor threshold, which determines the strength of the magnetic field used. This process aids in managing various neurological conditions.
18 services11 patients
Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management 90867
This treatment involves using a magnetic field to stimulate nerve cells in the brain. It's a non-invasive procedure, meaning no surgery is required. The aim is to improve symptoms of certain mental health conditions. Initial delivery and management refers to the start of your treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARISSA BIRNDORF MSW, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2701 NW VAUGHN ST STE 470
PORTLAND, OR 97210
Multnomah County (503) 719-4648
ACTIVE RECOVERY TMS PLLC
Psychiatry & Neurology (Psychiatry)
2701 NW VAUGHN ST STE 470
PORTLAND, OR 97210
Multnomah County (206) 210-1198
AUDREY ELIZABETH SPEICHER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2701 NW VAUGHN ST STE 470
PORTLAND, OR 97210
Multnomah County (503) 832-4861

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 Mason Spong's NPI number?

The NPI number for Mason Spong is 1255193785. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Mason Spong located?

Mason Spong practices at 2701 NW Vaughn St Ste 470, Portland, OR 97210. The listed phone number is (503) 751-2216.

What is Mason Spong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mason Spong enrolled in Medicare?

Yes. Mason Spong 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 Mason Spong accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mason Spong 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 Mason Spong was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.