MS. ANDREA LORAN MATSUMURA MD
NPI 1487761136
Internal Medicine in Portland, OR

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
3036 NE MLK JR BLVD, PORTLAND, OR 97212(503) 283-3763 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Nov 21, 2023, Nov 16, 2021 and 3 more (6 updates tracked since 2016).

About Ms. Andrea Loran Matsumura Md NPPES

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

MS. ANDREA LORAN MATSUMURA MD (NPI 1487761136) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD22819) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1487761136
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. ANDREA LORAN MATSUMURACredential: MD
Location Address3036 NE MLK JR BLVDPortland, OR 97212-3053
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 25, 2006
Last NPPES UpdateSeptember 9, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1487761136 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 · MD22819
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 ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD22819 (OR)
3036 NE MLK JR BLVD, Portland, OR 97212

Other Names 1

Former Name (1)Ms. Andrea Loran Navarijo Md

Other Identifiers 1

Medicaid028346OR

Accepted 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

Ms. Andrea Loran Matsumura 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 ID5799875522
PECOS Enrollment IDI20071218000050
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 5

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.
66 services59 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
25 services23 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.
23 services23 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
14 services14 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97212 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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers148 claims148 services$33.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers56 claims56 services$76.78 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers55 claims148 services$28.39 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers73 claims360 services$15.65 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers47 claims234 services$13.26 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers123 claims124 services$50.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Counselor (Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Student in an Organized Health Care Education/Training Program
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Nurse Practitioner (Psychiatric/Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Counselor (Addiction (Substance Use Disorder))
3036 NE MLK JR BLVD
PORTLAND, OR 97212

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 Andrea Matsumura's NPI number?

The NPI number for Andrea Matsumura is 1487761136. It was assigned to this individual provider in the NPPES registry on August 25, 2006. The provider is also known as Ms. Andrea Loran Navarijo MD.

Where is Andrea Matsumura located?

Andrea Matsumura practices at 3036 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 283-3763.

What is Andrea Matsumura's specialty?

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

Is Andrea Matsumura enrolled in Medicare?

Yes. Andrea Matsumura 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 Andrea Matsumura accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Andrea Matsumura 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 Andrea Matsumura was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.