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ROY CHARLES BLILEY IV MD
NPI 1407484314
Radiology - Radiation Oncology in Portland, OR

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment
4805 NE GLISAN ST GARDEN LEVEL, PORTLAND, OR 97213(503) 215-6029 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Jun 30, 2021, Mar 28, 2020 (3 updates tracked since 2020).

About Roy Charles Bliley Iv Md NPPES

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

ROY CHARLES BLILEY IV MD (NPI 1407484314) is an individual radiation oncology provider in Portland, Oregon, licensed in Oregon (MD226128) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of University Of Virginia School Of Medicine (2020).

NPPES Registry Identity

NPI1407484314
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameROY CHARLES BLILEY IVCredential: MD
Location Address4805 NE GLISAN ST GARDEN LEVELPortland, OR 97213
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801
Phone(503) 215-6029
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2020
Enumeration DateMarch 28, 2020
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1407484314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in OR · MD226128
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
4805 NE GLISAN ST GARDEN LEVEL, Portland, OR 97213
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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

Roy Charles Bliley Iv 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 ID5597183939
PECOS Enrollment IDI20250818000954
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.

Hospital Affiliations CMS Care Compare 3

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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 97213 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

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

DR. ADAM AVANT MD
Radiology (Radiation Oncology)
4805 NE GLISAN ST GARDEN LEVEL
PORTLAND, OR 97213
Multnomah County (032) 150-6295

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 Roy Bliley's NPI number?

The NPI number for Roy Bliley is 1407484314. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Roy Bliley located?

Roy Bliley practices at 4805 NE Glisan St Garden Level, Portland, OR 97213. The listed phone number is (503) 215-6029.

What is Roy Bliley's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Roy Bliley enrolled in Medicare?

Yes. Roy Bliley 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 Roy Bliley accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Roy Bliley 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 Roy Bliley affiliated with any hospitals?

According to CMS data, Roy Bliley is affiliated with Providence St Vincent Medical Center, Ohsu Hospital And Clinics and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Roy Bliley was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.