DR. MARC CHAGALL ROTHGERY M.D.
NPI 1366677874
Family Medicine in Beaverton, OR
About Dr. Marc Chagall Rothgery M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARC CHAGALL ROTHGERY M.D. (NPI 1366677874) is an individual family medicine provider in Beaverton, Oregon, licensed in Oregon (MD157712) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Albany Medical College Of Union University (2009).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Marc Chagall Rothgery M.d. 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
2Medicare enrollment records show Marc Rothgery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaverton, OR 97005
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1184786527 (Washington)
- 3,207 clinicians in this Medicare group
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Marc Rothgery's NPI number?
The NPI number for Marc Rothgery is 1366677874. It was assigned to this individual provider in the NPPES registry on May 28, 2009.
Where is Marc Rothgery located?
Marc Rothgery practices at 4855 SW Western Ave, Beaverton, OR 97005. The listed phone number is (800) 813-2000.
What is Marc Rothgery's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Marc Rothgery enrolled in Medicare?
Yes. Marc Rothgery 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 Marc Rothgery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Rothgery reassigns Medicare benefits to 2 organizations: Beaverton Rehab & Specialty Care, LLC (Beaverton, OR) and Kaiser Foundation Health Plan Of Washington (Renton, WA). 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 Marc Rothgery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marc Rothgery was last updated on April 16, 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.
# Dr. Marc Chagall Rothgery, M.D. · NPI 1366677874
Family Medicine physician in Beaverton, Oregon. Individual provider, active in the CMS NPPES registry since May 28, 2009.
## Identity
- **NPI:** 1366677874 (Entity type: Individual)
- **Enumerated:** May 28, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD157712 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4855 SW WESTERN AVE, Beaverton, OR 97005-3460
- **Phone:** (800) 813-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Beaverton Rehab & Specialty Care, LLC (NPI 1366469330, Beaverton, OR); Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2009
## Record status
- **NPPES last updated:** April 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366677874) · Data from the CMS NPPES public registry.