MARY SARA MINETTE MD
NPI 1275548786
Pediatrics - Pediatric Cardiology in Portland, OR
About Mary Sara Minette Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY SARA MINETTE MD (NPI 1275548786) is an individual pediatric cardiology provider in Portland, Oregon, licensed in Oregon (MD19772) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Mary Sara Minette 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Minette reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1881848307 (Washington)
- 2,212 clinicians in this Medicare group
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 207 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 267 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 Mary Minette's NPI number?
The NPI number for Mary Minette is 1275548786. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Mary Minette located?
Mary Minette practices at 707 SW Gaines St Pediatric Cardiology, Cdrc-P, Portland, OR 97239. The listed phone number is (503) 494-2192.
What is Mary Minette's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Mary Minette enrolled in Medicare?
Yes. Mary Minette 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 Mary Minette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Minette reassigns Medicare benefits to 3 organizations: University Professional Services (Portland, OR), Asante Three Rivers Medical Center, LLC (Grants Pass, OR) and Asante (Medford, 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 Mary Minette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Minette accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Mary Minette 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 Mary Minette was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mary Sara Minette, MD · NPI 1275548786
Pediatric Cardiology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1275548786 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MD19772 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 707 SW GAINES ST, PEDIATRIC CARDIOLOGY, CDRC-P, Portland, OR 97239-2901
- **Phone:** (503) 494-2192 · **Fax:** (503) 494-2824
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1376709535, Portland, OR); Asante Three Rivers Medical Center, LLC (NPI 1801891809, Grants Pass, OR); Asante (NPI 1770587107, Medford, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 1993
## Record status
- **NPPES last updated:** December 28, 2011
- **Other identifiers:** Medicare UPIN H79439; Medicaid 150183 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1275548786) · Data from the CMS NPPES public registry.