MADELEINE DUARTE MD
NPI 1255928560
Pediatrics in Portland, OR

Active since December 22, 2020PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 346-0640(503) 494-4951 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 14, 2025, May 14, 2025, May 7, 2025 and 2 more (5 updates tracked since 2020).

About Madeleine Duarte Md NPPES

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

MADELEINE DUARTE MD (NPI 1255928560) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD224106) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of University Of Oklahoma College Of Medicine (2022).

NPPES Registry Identity

NPI1255928560
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMADELEINE DUARTECredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 346-0640 · Fax (503) 494-4951
Fax(503) 494-4951
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2022
Enumeration DateDecember 22, 2020
Last NPPES UpdateAugust 14, 20255 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1255928560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OR · MD224106
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Location 1

Location 12801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-2042

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

Madeleine Duarte 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 ID6406230234
PECOS Enrollment IDI20250516002727
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 97239 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.

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.

Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, # CDW
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Madeleine Duarte's NPI number?

The NPI number for Madeleine Duarte is 1255928560. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Madeleine Duarte located?

Madeleine Duarte practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 346-0640.

What is Madeleine Duarte's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Madeleine Duarte enrolled in Medicare?

Yes. Madeleine Duarte 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 Madeleine Duarte accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Madeleine Duarte 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 Madeleine Duarte was last updated on August 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.