LEGACY MOUNT HOOD PROVIDERS
NPI 1386919132
Clinic/Center in Gresham, OR
About Legacy Mount Hood Providers NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY MOUNT HOOD PROVIDERS (NPI 1386919132) is a healthcare organization registered as a clinic/center in Gresham, Oregon and active in the NPI registry since March 2012. The organization lists Linda Hoff, Senior Vp And Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legacy Mount Hood Providers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
132Medicare enrollment records show 132 clinicians reassign Medicare billing to Legacy Mount Hood Providers, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 132Gresham, OR 97030
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 Legacy Mount Hood Medical Center's NPI number?
The NPI number for Legacy Mount Hood Medical Center is 1386919132. It was assigned to this organization in the NPPES registry on March 13, 2012. The provider is doing business as Legacy Mount Hood Providers.
Where is Legacy Mount Hood Medical Center located?
Legacy Mount Hood Medical Center is located at 24800 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 413-5089.
What is Legacy Mount Hood Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Legacy Mount Hood Medical Center enrolled in Medicare?
Yes. Legacy Mount Hood Medical Center is registered in the Medicare PECOS enrollment system.
When is Legacy Mount Hood Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Legacy Mount Hood Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 132 clinicians in 18 Medicare specialties reassign their Medicare billing to Legacy Mount Hood Medical Center. 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. The largest specialties are Cardiovascular Disease (Cardiology) (23), Internal Medicine (21) and Nurse Practitioner (15). Of these, 4 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Legacy Mount Hood Medical Center accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Legacy Mount Hood Medical Center 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 Legacy Mount Hood Medical Center was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Legacy Mount Hood Providers · NPI 1386919132
Clinic/Center organization in Gresham, Oregon. Organization record, active in the CMS NPPES registry since March 13, 2012.
## Identity
- **NPI:** 1386919132 (Entity type: Organization)
- **Enumerated:** March 13, 2012
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Legacy Mount Hood Medical Center
- **Organization subpart:** Yes (part of Legacy Mount Hood Medical Center)
- **Authorized official:** Linda Hoff, SENIOR VP AND CFO
## Practice location
- **Address:** 24800 SE STARK ST, Gresham, OR 97030-3378
- **Phone:** (503) 413-5089 · **Fax:** (503) 413-1860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 132 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (23), Internal Medicine (21), Nurse Practitioner (15); 4 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1386919132/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2015
- **Other identifiers:** Medicare PIN R0000ZBBSX (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1386919132) · Data from the CMS NPPES public registry.