PORTLAND OCULOPLASTICS, PC
NPI 1316121692
Ophthalmology in Portland, OR

Q: What is Portland Oculoplastics, PC's NPI number?

The NPI number for Portland Oculoplastics, PC is 1316121692. It was assigned to this organization in the NPPES registry on December 22, 2007.

Q: What is Portland Oculoplastics, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since December 22, 2007

10305 SW PARK WAY STE 203, PORTLAND, OR 97225(503) 223-8333(503) 595-8160 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2021, Aug 19, 2021, Aug 11, 2021 (3 updates tracked since 2021).

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About Portland Oculoplastics, Pc NPPES

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

PORTLAND OCULOPLASTICS, PC (NPI 1316121692) is a healthcare organization registered as an ophthalmology in Portland, Oregon and active in the NPI registry since December 2007. The organization lists Scot A Sullivan, President, as its authorized official.

NPPES Registry Identity

NPI1316121692

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NamePORTLAND OCULOPLASTICS, PC

Location Address10305 SW PARK WAY STE 203Portland, OR 97225-5033

Mailing Address10305 Sw Park Way Ste 203Portland, OR 97225-5033 · (503) 223-8333 · Fax (503) 595-8160

Phone(503) 223-8333

Fax(503) 595-8160

Organization SubpartNo

Authorized OfficialScot A SullivanPresident · (503) 223-8333

Enumeration DateDecember 22, 2007

Last NPPES UpdateOctober 6, 20213 updates tracked since enumeration

NPPES CertifiedOctober 6, 2021

✔ NPI 1316121692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OR · MD21723

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

10305 SW PARK WAY STE 203, Portland, OR 97225

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portland Oculoplastics, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Portland Oculoplastics, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Scot Sullivan, M.D.

Ophthalmology

NPI 1164481230

10305 SW PARK WAY STE 203
Portland, OR 97225

(503) 223-8333

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Portland Oculoplastics, PC's NPI number?

The NPI number for Portland Oculoplastics, PC is 1316121692. It was assigned to this organization in the NPPES registry on December 22, 2007.

Where is Portland Oculoplastics, PC located?

Portland Oculoplastics, PC is located at 10305 SW Park Way Ste 203, Portland, OR 97225. The listed phone number is (503) 223-8333.

What is Portland Oculoplastics, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Portland Oculoplastics, PC enrolled in Medicare?

Yes. Portland Oculoplastics, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portland Oculoplastics, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Portland Oculoplastics, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portland Oculoplastics, PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Portland Oculoplastics, PC 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 Portland Oculoplastics, PC was last updated on October 6, 2021. 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.