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DR. RAPHAEL MICAH BYRNE M.D.
NPI 1457779233
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD., OHSU, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raphael Micah Byrne M.d. NPPES

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

DR. RAPHAEL MICAH BYRNE M.D. (NPI 1457779233) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457779233
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RAPHAEL MICAH BYRNECredential: M.D.
Location Address3181 SW SAM JACKSON PARK RD., OHSUPortland, OR 97239
Mailing Address3181 Sw Sam Jackson Park Rd. L579, OhsuPortland, OR 97239
Phone(503) 494-8211
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 31, 2014
✔ NPI 1457779233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3181 SW SAM JACKSON PARK RD., Portland, OR 97239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Raphael Micah Byrne 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.

PECOS PAC ID1355568957
PECOS Enrollment IDI20211203000159, I20211203001787
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 8

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.

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.
89 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
32 services31 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services11 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Other Providers at the Same Location NPPES 15

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

CAROLYN KYLE NIXON
Physician Assistant (Medical)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7551
PETER STANLEY JONES M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7551
DR. KENNETH RICHARDS STEVENS JR. M.D.
Radiology (Radiation Oncology)
3181 SW SAM JACKSON PARK RD., KPV4, RADIATION MEDICINE
PORTLAND, OR 97239
Multnomah County (503) 494-8756
LINDA ANNE BRYANS CCC-SLP
Speech-Language Pathologist
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-2421
IDA SHEEVAUN KHAKI MD
Pediatrics
3181 SW SAM JACKSON PARK RD., OHSU
PORTLAND, OR 97239
Multnomah County (503) 494-8211
ALEXANDER C. AUL DNP, CRNA
Nurse Anesthetist, Certified Registered
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7641
DR. EUGENE LLOYD HIEBERT MD
Anesthesiology (Pain Medicine)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7641
ERIC WYATT WALSH MD
Family Medicine
3181 SW SAM JACKSON PARK RD., OREGON HEALTH AND SCIENCE UNIVERSITY
PORTLAND, OR 97239
Multnomah County (503) 494-6616

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 Raphael Byrne's NPI number?

The NPI number for Raphael Byrne is 1457779233. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Raphael Byrne located?

Raphael Byrne practices at 3181 SW Sam Jackson Park Rd. Ohsu, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Raphael Byrne's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Raphael Byrne enrolled in Medicare?

Yes. Raphael Byrne 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 Raphael Byrne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Raphael Byrne 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 Raphael Byrne affiliated with any hospitals?

According to CMS data, Raphael Byrne is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Corning Hospital and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Raphael Byrne was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.