ANDREW JAY PORTUGUESE MD
NPI 1255868410
Internal Medicine - Hematology & Oncology in Seattle, WA

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1354 ALOHA ST, SEATTLE, WA 98109(206) 667-6656 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, May 24, 2023, Aug 26, 2019 and 2 more (5 updates tracked since 2017).

About Andrew Jay Portuguese Md NPPES

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

ANDREW JAY PORTUGUESE MD (NPI 1255868410) is an individual hematology & oncology provider in Seattle, Washington, licensed in Washington (MD61185433) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255868410
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameANDREW JAY PORTUGUESECredential: MD
Location Address1354 ALOHA STSeattle, WA 98109-4404
Mailing Address1100 Fairview Ave N # D5-126Seattle, WA 98109-4433 · (206) 667-6656
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 18, 2017
Last NPPES UpdateJuly 10, 20235 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1255868410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in WA · MD61185433
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1354 ALOHA ST, Seattle, WA 98109

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 and accepts Medicare assignment

Andrew Jay Portuguese Md 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 ID4486907896
PECOS Enrollment IDI20230523002994
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.

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.
93 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
84 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Registered Nurse
1354 ALOHA ST
SEATTLE, WA 98109
Pharmacist (Oncology)
1354 ALOHA ST
SEATTLE, WA 98109
Pharmacist (Oncology)
1354 ALOHA ST
SEATTLE, WA 98109
Pharmacist
1354 ALOHA ST
SEATTLE, WA 98109
Pharmacist (Oncology)
1354 ALOHA ST
SEATTLE, WA 98109
Pharmacist (Oncology)
1354 ALOHA ST
SEATTLE, WA 98109
Pharmacist (Oncology)
1354 ALOHA ST
SEATTLE, WA 98109
Pharmacist (Oncology)
1354 ALOHA ST
SEATTLE, WA 98109

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 Andrew Portuguese's NPI number?

The NPI number for Andrew Portuguese is 1255868410. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Andrew Portuguese located?

Andrew Portuguese practices at 1354 Aloha St, Seattle, WA 98109. The listed phone number is (206) 667-6656.

What is Andrew Portuguese's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Andrew Portuguese enrolled in Medicare?

Yes. Andrew Portuguese 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 Andrew Portuguese accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrew Portuguese 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 Andrew Portuguese affiliated with any hospitals?

According to CMS data, Andrew Portuguese is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Andrew Portuguese was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.