JOHN MCKENNA MD
NPI 1316333610
Obstetrics & Gynecology in Portland, OR

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-4278 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2019, Aug 9, 2019 (2 updates tracked since 2019).

About John Mckenna Md NPPES

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

JOHN MCKENNA MD (NPI 1316333610) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD211959) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Peace Harbor Medical Center, and maintains a secondary practice location in Fairbanks.

NPPES Registry Identity

NPI1316333610
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN MCKENNACredential: MD
Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2010
Enumeration DateApril 13, 2015
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1316333610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OR · MD211959✔ Licensed in TN · 59812
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2801 N GANTENBEIN AVE, Portland, OR 97227

Secondary Practice Location 1

Location 11001 Noble StFairbanks, AK 99701-4948 · Phone (907) 459-3500

Other Identifiers 1

Medicaid1698149AK

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

John Mckenna 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 ID345530465
PECOS Enrollment IDI20221021000831
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Mckenna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
Multi-Specialty
380 9TH ST
Florence, OR 97439
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1578552402 (Oregon)
  • 172 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peace Harbor Medical Center

Critical Access Hospitals · Florence, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381316
Location400 9th StreetFlorence, OR 97439 · Lane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 20

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

Genetic Counselor, MS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Hematology-Oncology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Nurse Practitioner (Neonatal)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Psychologist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Emergency Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227

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 John Mckenna's NPI number?

The NPI number for John Mckenna is 1316333610. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is John Mckenna located?

John Mckenna practices at 2801 N Gantenbein Ave, Portland, OR 97227. The listed phone number is (503) 413-4278.

What is John Mckenna's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Mckenna enrolled in Medicare?

Yes. John Mckenna 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 John Mckenna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mckenna reassigns Medicare benefits to 2 organizations: Legacy Clinics LLC (Portland, OR) and Peacehealth (Florence, 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 John Mckenna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Mckenna accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list John Mckenna 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 John Mckenna affiliated with any hospitals?

According to CMS data, John Mckenna is affiliated with Peace Harbor Medical Center.

When was this NPI record last updated?

The NPPES record for John Mckenna was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.