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DR. PORFIRIO PENA JR. M.D.
NPI 1255496709
Internal Medicine in Portland, OR

Active since December 26, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 38D0668998 · Waiver
5050 NE HOYT ST, SUITE 203, PORTLAND, OR 97213(503) 230-9224(503) 230-9201 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Porfirio Pena Jr. M.d. NPPES

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

DR. PORFIRIO PENA JR. M.D. (NPI 1255496709) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD15289) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 14, 2027, and is affiliated with Providence St Vincent Medical Center.

NPPES Registry Identity

NPI1255496709
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PORFIRIO PENA JR.Credential: M.D.
Location Address5050 NE HOYT ST, SUITE 203Portland, OR 97213-2991
Mailing Address5050 Ne Hoyt St, Suite 203Portland, OR 97213-2991 · (503) 230-9224 · Fax (503) 230-9201
Phone(503) 230-9224
Fax(503) 230-9201
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateDecember 26, 2006
Last NPPES UpdateNovember 27, 2007
✔ NPI 1255496709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD15289
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5050 NE HOYT ST, Portland, OR 97213
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Other Identifiers 3

Medicare PIN139215OR
Medicare UPINE21874OR
Medicaid000810OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Porfirio Pena Jr. 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 ID6507841525
PECOS Enrollment IDI20071023000044
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Porfirio Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine Of Oregon, LLC
Same address
Internal Medicine
5050 NE HOYT ST, SUITE 203
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
NPI 1538355417 (503) 230-9224
Providence Health & Services - Oregon
0.1 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000

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 38D0668998

Porfirio Pena MD · Portland, OR
Active · expires Jul 14, 2027
CLIA Number38D0668998
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorPorfirio Pena
Laboratory Phone(503) 230-9224
Laboratory LocationPorfirio Pena MD5050 NE Hoyt St Suite 203, Portland, OR 97213
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
342 services268 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
224 services22 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
204 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
182 services68 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
80 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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.

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. MOLLY ANNE BREDENBERG PT
Physical Therapist
5050 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-0424
ALISON MITCHELL MD
Family Medicine
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213
Multnomah County (503) 215-6480
JOHN EDWARD HEFFNER MD
Internal Medicine (Pulmonary Disease)
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
DR. THERESA MARIE MORIKAWA PHARMD, BCACP
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5050 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-6296
JAMES H IMATANI, JR. M.D., PC
Surgery (Surgical Oncology)
5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213
Multnomah County (503) 467-4761
DONALD ANDREW YOUNG III MD
Urology
5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213
Multnomah County (503) 488-2323
SPECIALTY SURGERY PC
Surgery
5050 NE HOYT ST, STE 511
PORTLAND, OR 97213
Multnomah County (503) 232-0942
GRETCHEN E VANDERBEEK MD
Internal Medicine
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600

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 Porfirio Pena's NPI number?

The NPI number for Porfirio Pena is 1255496709. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Porfirio Pena located?

Porfirio Pena practices at 5050 NE Hoyt St Suite 203, Portland, OR 97213. The listed phone number is (503) 230-9224.

What is Porfirio Pena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Porfirio Pena enrolled in Medicare?

Yes. Porfirio Pena 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.

Which organizations bill Medicare for Porfirio Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Porfirio Pena reassigns Medicare benefits to 2 organizations: Internal Medicine Of Oregon, LLC (Portland, OR) and Providence Health & Services - Oregon (Portland, OR). Each 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 Porfirio Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Porfirio Pena hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0668998) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Porfirio Pena accept?

Health plans from Providence Health Plan list Porfirio Pena 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.

Is Porfirio Pena affiliated with any hospitals?

According to CMS data, Porfirio Pena is affiliated with Providence St Vincent Medical Center, Ohsu Hospital And Clinics, Providence Willamette Falls Medical Center, Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Porfirio Pena was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.