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SAMUEL J FELLIN DO
NPI 1265463996
Internal Medicine in Tigard, OR

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
12442 SW SCHOLLS FERRY RD, SUITE 106, TIGARD, OR 97223(503) 216-9200(503) 212-6922 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel J Fellin Do NPPES

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

SAMUEL J FELLIN DO (NPI 1265463996) is an individual internal medicine provider in Tigard, Oregon, licensed in Oregon (DO16616) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1989).

NPPES Registry Identity

NPI1265463996
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL J FELLINCredential: DO
Location Address12442 SW SCHOLLS FERRY RD, SUITE 106Tigard, OR 97223-3396
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 216-9200
Fax(503) 212-6922
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1989
Enumeration DateJuly 5, 2006
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
✔ NPI 1265463996 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 · DO16616
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.
12442 SW SCHOLLS FERRY RD, Tigard, OR 97223
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Other Identifiers 1

Other110101988OR · Rr Medicare

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel J Fellin Do 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 ID1153452925
PECOS Enrollment IDI20100623000809
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 9

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.
304 services167 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.
99 services99 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services32 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
30 services30 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.
29 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers25 claims77 services$5.67 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims71 services$1.95 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers32 claims34 services$35.05 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers23 claims23 services$192.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EVAGELIA BAROS DO
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
POOMBAVAI O NAGAPPAN MD
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
DR. BENJAMIN HIN-MENG IP MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
PORTLAND, OR 97223
Washington County (503) 215-9900
PROVIDENCE HEALTH & SERVICES - OREGON
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Washington County (503) 216-9140
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
DOUGLAS R NIEHUS MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
MRS. KATHRYN ANDERSON CARR P.T.
Physical Therapist
12442 SW SCHOLLS FERRY RD, SUITE 202
TIGARD, OR 97223
Washington County (503) 216-9280
DR. SANDRA ANA ANTONOVIC M.D.
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Washington County (503) 216-9140

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 Samuel Fellin's NPI number?

The NPI number for Samuel Fellin is 1265463996. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Samuel Fellin located?

Samuel Fellin practices at 12442 SW Scholls Ferry Rd Suite 106, Tigard, OR 97223. The listed phone number is (503) 216-9200.

What is Samuel Fellin's specialty?

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

Is Samuel Fellin enrolled in Medicare?

Yes. Samuel Fellin 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 Samuel Fellin accept?

Health plans from Providence Health Plan list Samuel Fellin 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 Samuel Fellin affiliated with any hospitals?

According to CMS data, Samuel Fellin is affiliated with Providence St Vincent Medical Center, Providence Newberg Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Fellin was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.