DR. SUNNY L DRAKE DMD, MS
NPI 1467683276
Dentist - Periodontics in Portland, OR

Active since July 29, 2009Opted out of Medicare · through Jan 8, 2028
2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-8867 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2025, Nov 4, 2025, Nov 15, 2023 (3 updates tracked since 2023).

About Dr. Sunny L Drake Dmd, Ms NPPES

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

DR. SUNNY L DRAKE DMD, MS (NPI 1467683276) is an individual periodontics provider in Portland, Oregon, licensed in Oregon (D9324) and active in the NPI registry since July 2009. She has opted out of Medicare through January 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467683276
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SUNNY L DRAKECredential: DMD, MS
Location Address2730 S MOODY AVEPortland, OR 97201-5042
Mailing Address2730 S Moody AvePortland, OR 97201-5042
Sole ProprietorYes
Enumeration DateJuly 29, 2009
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1467683276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in OR · D9324
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License D9324 (OR)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D9324 (OR)
2730 S MOODY AVE, Portland, OR 97201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Sunny L Drake Dmd, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2018 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2018
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97201 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
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 20

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

Dentist (Prosthodontics)
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201

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 Sunny Drake's NPI number?

The NPI number for Sunny Drake is 1467683276. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Sunny Drake located?

Sunny Drake practices at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-8867.

What is Sunny Drake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Sunny Drake enrolled in Medicare?

No. Sunny Drake has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sunny Drake accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Sunny Drake 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 Sunny Drake was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.