MARLO L. MCILRAITH MD
NPI 1407861909
Pediatrics in Portland, OR
About Marlo L. Mcilraith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLO L. MCILRAITH MD (NPI 1407861909) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD22169) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Marlo L. Mcilraith 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.
Medicare Billing Reassignment
Medicare enrollment records show Marlo Mcilraith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97229 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97229
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 Marlo Mcilraith's NPI number?
The NPI number for Marlo Mcilraith is 1407861909. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Marlo Mcilraith located?
Marlo Mcilraith practices at 15220 NW Laidlaw Rd Ste 100, Portland, OR 97229. The listed phone number is (503) 418-2000.
What is Marlo Mcilraith's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Marlo Mcilraith enrolled in Medicare?
Yes. Marlo Mcilraith 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 organization bills Medicare for Marlo Mcilraith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlo Mcilraith reassigns Medicare benefits to University Professional Services (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 Marlo Mcilraith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlo Mcilraith accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Marlo Mcilraith 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 Marlo Mcilraith was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Marlo L. Mcilraith, MD · NPI 1407861909
Pediatrics physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1407861909 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD22169 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 15220 NW LAIDLAW RD STE 100, Portland, OR 97229-7717
- **Phone:** (503) 418-2000
## 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:** University Professional Services (NPI 1073767588, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** December 6, 2011
- **Other identifiers:** Medicaid 134289 (OR); Medicare UPIN H05046
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Source: [NPI Profile](https://npiprofile.com/npi/1407861909) · Data from the CMS NPPES public registry.