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MRS. CARMEN MCCALLUM M.D.
NPI 1295810265
Internal Medicine in Tualatin, OR

Active since October 26, 2006Opted out of Medicare · through May 4, 2027
19355 SW MOHAVE CT, TUALATIN, OR 97062(503) 776-0809(971) 205-3050 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Carmen Mccallum M.d. NPPES

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

MRS. CARMEN MCCALLUM M.D. (NPI 1295810265) is an individual internal medicine provider in Tualatin, Oregon, licensed in Oregon (MD21127) and active in the NPI registry since October 2006. She has opted out of Medicare through May 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295810265
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. CARMEN MCCALLUMCredential: M.D.
Location Address19355 SW MOHAVE CTTualatin, OR 97062-8631
Mailing Address19355 Sw Mohave CtTualatin, OR 97062-8631 · (971) 272-3112 · Fax (971) 205-3050
Phone(503) 776-0809
Fax(971) 205-3050
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1295810265 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 · MD21127
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.
19355 SW MOHAVE CT, Tualatin, OR 97062
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Carmen Mccallum M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 4, 2023 through May 4, 2027.

Opt-Out Effective DateMay 4, 2023
Opt-Out In Effect ThroughMay 4, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 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.

Other Providers at the Same Location NPPES

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

JESSE HUDSON LMT
Massage Therapist
19355 SW MOHAVE CT
TUALATIN, OR 97062
Washington County (503) 486-5199

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 Carmen Mccallum's NPI number?

The NPI number for Carmen Mccallum is 1295810265. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Carmen Mccallum located?

Carmen Mccallum practices at 19355 SW Mohave Ct, Tualatin, OR 97062. The listed phone number is (503) 776-0809.

What is Carmen Mccallum's specialty?

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

Is Carmen Mccallum enrolled in Medicare?

No. Carmen Mccallum has opted out of Medicare through May 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carmen Mccallum was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.