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DR. MARY LU M.D.
NPI 1336228386
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since November 02, 2006PECOS Enrolled
1942 NW KEARNEY ST STE 24, PORTLAND, OR 97209(971) 350-8968 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mary Lu M.d. NPPES

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

DR. MARY LU M.D. (NPI 1336228386) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD25702) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2002).

NPPES Registry Identity

NPI1336228386
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARY LUCredential: M.D.
Location Address1942 NW KEARNEY ST STE 24Portland, OR 97209-1465
Mailing Address2908 Nw Thurman St.Portland, OR 97210-1941 · (503) 445-2104
Phone(971) 350-8968
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2002
Enumeration DateNovember 2, 2006
Last NPPES UpdateNovember 19, 2019
✔ NPI 1336228386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OR · MD25702
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1942 NW KEARNEY ST STE 24, Portland, OR 97209
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Lu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395759971
PECOS Enrollment IDI20060202000840
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 Reassignment

Medicare enrollment records show Mary Lu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary W. Lu, MD, LLC
Same address
Psychiatry
1942 NW KEARNEY ST STE 24
Portland, OR 97209
  • Reassigned Medicare billing, Oregon enrollment
NPI 1609412204 (971) 350-8968

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
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 2

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

DR. KEITH A CAMPBELL PHD
Psychologist (Clinical)
1942 NW KEARNEY ST STE 24
PORTLAND, OR 97209
Multnomah County (503) 221-7074
MARY W. LU, MD, LLC
Psychiatry & Neurology (Psychiatry)
1942 NW KEARNEY ST STE 24
PORTLAND, OR 97209
Multnomah County (971) 350-8968

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 Lu's NPI number?

The NPI number for Mary Lu is 1336228386. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Mary Lu located?

Mary Lu practices at 1942 NW Kearney St Ste 24, Portland, OR 97209. The listed phone number is (971) 350-8968.

What is Mary Lu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mary Lu enrolled in Medicare?

Yes. Mary Lu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Lu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lu reassigns Medicare benefits to Mary W. Lu, MD, LLC (Portland, OR). The 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 Lu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Lu accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Mary Lu 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 Lu was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.