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NATHANIEL EDWARDS MD
NPI 1477174076
Internal Medicine in Portland, OR

Active since May 05, 2020PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-2906 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2023, May 5, 2020 (2 updates tracked since 2020).

About Nathaniel Edwards Md NPPES

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

NATHANIEL EDWARDS MD (NPI 1477174076) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD207285) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (2020).

NPPES Registry Identity

NPI1477174076
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNATHANIEL EDWARDSCredential: MD
Location Address9205 SW BARNES RDPortland, OR 97225-6603
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-2906
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2020
Enumeration DateMay 5, 2020
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1477174076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD207285
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9205 SW BARNES RD, Portland, OR 97225
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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

Nathaniel Edwards 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 ID7012339765
PECOS Enrollment IDI20230714002269
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Nathaniel Edwards reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Oregon
Same address
Primary Care
9205 SW BARNES RD, MT7878
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1053403394 (503) 216-4961
Providence Health & Services - Oregon
Same address
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1114015971 (503) 451-3000
Dhs/Office Of Financial Services Irs/Eopc/Bmrc/Eotc/Osh/Osh-P
41 mi
Psychiatric Hospital
2600 CENTER ST NE
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 123 clinicians in this Medicare group
NPI 1508802489 (503) 945-2800
Apogee Medical Group PC
69 mi
Internal Medicine
2111 EXCHANGE ST
Astoria, OR 97103
  • Reassigned Medicare billing, Oregon enrollment
  • 70 clinicians in this Medicare group
NPI 1841461803 (503) 338-4093
Asante Physician Partners
221 mi
Family Medicine
2620 E BARNETT RD, SUITE H
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 353 clinicians in this Medicare group
NPI 1922381326 (541) 789-4728

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
319 services137 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.
166 services79 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
86 services85 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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.

DR. VICTOR NGUYEN PHAM M.D.
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
YEVGENY BULOCHNIK PHARMD
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-3299
MR. DANIEL PAUL ADDY C.R.N.A.
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MR. JONATHAN DAVID CAULLEY PT
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610
EMILY ECHTENKAMP LCSW, CADC III, MAC
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
BRIAN J KEARNS MD
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
DR. JAMES S PUTNAM MD
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-4830
MATTHEW CARSTENS FRANK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (303) 859-4275

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 Nathaniel Edwards's NPI number?

The NPI number for Nathaniel Edwards is 1477174076. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Nathaniel Edwards located?

Nathaniel Edwards practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-2906.

What is Nathaniel Edwards's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathaniel Edwards enrolled in Medicare?

Yes. Nathaniel Edwards 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 organizations bill Medicare for Nathaniel Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Edwards reassigns Medicare benefits to 5 organizations: Providence Health & Services Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Dhs/Office Of Financial Services Irs/Eopc/Bmrc/Eotc/Osh/Osh-P (Salem, OR), Apogee Medical Group PC (Astoria, OR) and Asante Physician Partners (Medford, OR). Each 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 Nathaniel Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nathaniel Edwards affiliated with any hospitals?

According to CMS data, Nathaniel Edwards is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Nathaniel Edwards was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.