DR. JENNIFER PURDY MAYBERRY MD
NPI 1467565671
Radiology - Diagnostic Radiology in Portland, OR
About Dr. Jennifer Purdy Mayberry Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIFER PURDY MAYBERRY MD (NPI 1467565671) is an individual diagnostic radiology provider in Portland, Oregon, licensed in Oregon (MD24376) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
Dr. Jennifer Purdy Mayberry 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 Jennifer Mayberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 85 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.
Areas of Expertise CMS Part B claims 34
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.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97220
PORTLAND, OR 97220
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 Jennifer Mayberry's NPI number?
The NPI number for Jennifer Mayberry is 1467565671. It was assigned to this individual provider in the NPPES registry on August 15, 2006. The provider is also known as Dr. Mary Jennifer Purdy MD.
Where is Jennifer Mayberry located?
Jennifer Mayberry practices at 233 NE 102nd Ave, Portland, OR 97220. The listed phone number is (503) 253-1105.
What is Jennifer Mayberry's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jennifer Mayberry enrolled in Medicare?
Yes. Jennifer Mayberry 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 Jennifer Mayberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mayberry reassigns Medicare benefits to Ihs Radiology Medical Group, Inc. (San Diego, CA). 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 Jennifer Mayberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Mayberry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.