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DONALD FOON LUM MD
NPI 1376535724
Internal Medicine - Gastroenterology in Portland, OR

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
1111 NE 99TH AVE, SUITE 301, PORTLAND, OR 97220(503) 963-2707(503) 963-2802 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2024, Dec 6, 2023, Nov 17, 2021 and 1 more (4 updates tracked since 2019).

About Donald Foon Lum Md NPPES

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

DONALD FOON LUM MD (NPI 1376535724) is an individual gastroenterology provider in Portland, Oregon, licensed in Oregon (MD16022) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of University Of California, Davis School Of Medicine (1988).

NPPES Registry Identity

NPI1376535724
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDONALD FOON LUMCredential: MD
Location Address1111 NE 99TH AVE, SUITE 301Portland, OR 97220-9428
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 963-2707
Fax(503) 963-2802
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1988
Enumeration DateAugust 19, 2005
Last NPPES UpdateNovember 4, 20244 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1376535724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in OR · MD16022✔ Licensed in WA · MD60965635✔ Licensed in CA · G74500
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1111 NE 99TH AVE, Portland, OR 97220
Open in Google Maps ↗

Other Identifiers 2

Medicaid023908OR
Medicaid8424897WA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Foon Lum 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 ID7214971217
PECOS Enrollment IDI20050610000334
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.

Areas of Expertise CMS Part B claims 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
85 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services45 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
41 services41 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
34 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services14 patients

Hospital Affiliations CMS Care Compare

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier51 claims1,424 services$11.25 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims357 services$230.40 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims357 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims357 services$25.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LOUIS SAMUELS LIBBY MD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
DOUGLAS CRAIG WALTA MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE, SUITE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
ALYSSA MARIE O'BRIEN RD
Dietitian, Registered
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2707
JERZY O GIEDWOYN MD
Internal Medicine (Cardiovascular Disease)
1111 NE 99TH AVE, SUITE 201
PORTLAND, OR 97220
Multnomah County (503) 962-1000
DR. AMY LI RONG ZHU MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2707
MISS JACKIE MARCELLA WOLF PT
Physical Therapist
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 216-5410
STEPHEN JOHN YERMAL
Nurse Anesthetist, Certified Registered
1111 NE 99TH AVE, SUITE 302
PORTLAND, OR 97220
Multnomah County (503) 963-2763
THE OREGON CLINIC PC
Clinic/Center (Endoscopy)
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2801

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 Donald Lum's NPI number?

The NPI number for Donald Lum is 1376535724. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Donald Lum located?

Donald Lum practices at 1111 NE 99th Ave Suite 301, Portland, OR 97220. The listed phone number is (503) 963-2707.

What is Donald Lum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Donald Lum enrolled in Medicare?

Yes. Donald Lum 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.

What insurance does Donald Lum accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Donald Lum 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 Donald Lum affiliated with any hospitals?

According to CMS data, Donald Lum is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Lum was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.