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EVAN JACOB FERTIG MD
NPI 1275515918
Psychiatry & Neurology - Neurology in Portland, OR

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
5050 NE HOYT ST, SUITE 615, PORTLAND, OR 97213(503) 215-8580(503) 215-8585 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2020, Nov 18, 2015 (2 updates tracked since 2015).

About Evan Jacob Fertig Md NPPES

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

EVAN JACOB FERTIG MD (NPI 1275515918) is an individual neurology provider in Portland, Oregon, licensed in Oregon (MD173687) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1275515918
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameEVAN JACOB FERTIGCredential: MD
Location Address5050 NE HOYT ST, SUITE 615Portland, OR 97213-2958
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 215-8580
Fax(503) 215-8585
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 17, 2005
Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1275515918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in OR · MD173687✔ Licensed in CT · 043292
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5050 NE HOYT ST, Portland, OR 97213
Open in Google Maps ↗

Other Identifiers 3

Medicaid500689501OR
Medicaid001432921CT
Medicaid0171441NJ

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

Evan Jacob Fertig 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 ID1557390218
PECOS Enrollment IDI20150928001969
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 5

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.
64 services52 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
33 services26 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
28 services28 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.
15 services13 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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 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 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.

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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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 Evan Fertig's NPI number?

The NPI number for Evan Fertig is 1275515918. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Evan Fertig located?

Evan Fertig practices at 5050 NE Hoyt St Suite 615, Portland, OR 97213. The listed phone number is (503) 215-8580.

What is Evan Fertig's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Evan Fertig enrolled in Medicare?

Yes. Evan Fertig 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 Evan Fertig accept?

Health plans from Providence Health Plan list Evan Fertig 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 Evan Fertig affiliated with any hospitals?

According to CMS data, Evan Fertig is affiliated with Providence St Vincent Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Evan Fertig 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.