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MARCO POCHOLO RIGOR VALENCIA M.D.
NPI 1487966107
Family Medicine in Lake Oswego, OR

Active since July 10, 2010PECOS EnrolledAccepts Medicare Assignment
90.13/100
CMS Quality Rating
412 A AVE STE 200, LAKE OSWEGO, OR 97034(503) 635-2496 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marco Pocholo Rigor Valencia M.d. NPPES

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

MARCO POCHOLO RIGOR VALENCIA M.D. (NPI 1487966107) is an individual family medicine provider in Lake Oswego, Oregon, licensed in Oregon (MD185193) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487966107
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARCO POCHOLO RIGOR VALENCIACredential: M.D.
Location Address412 A AVE STE 200Lake Oswego, OR 97034-3078
Mailing Address412 A Ave Ste 200Lake Oswego, OR 97034-3078 · (503) 635-2496
Phone(503) 635-2496
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 10, 2010
Last NPPES UpdateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1487966107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD185193✔ Licensed in WA · MD60328795
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

412 A AVE STE 200, Lake Oswego, OR 97034
Open in Google Maps ↗

Other Identifiers 2

OtherG8919708WA · Medicare
Other0311916WA · L&i

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Marco Pocholo Rigor Valencia 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 ID2365683968
PECOS Enrollment IDI20190221001158
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.
117 services84 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.
106 services106 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services17 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services14 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97034 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
$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.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.57
Promoting Interoperability100
Improvement Activities40
Cost70.53

Other Providers at the Same Location NPPES 4

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

DR. JEFFREY TURNER M.D.
Specialist
412 A AVE STE 200
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-2496
AUSTIN PLISKA PHARMD
Pharmacist (Ambulatory Care)
412 A AVE STE 200
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-2496
DAVID H. LEE MD
Family Medicine
412 A AVE STE 200
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-2496
KAR-YEE WU MD
Family Medicine
412 A AVE STE 200
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-2496

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 Marco Pocholo Valencia's NPI number?

The NPI number for Marco Pocholo Valencia is 1487966107. It was assigned to this individual provider in the NPPES registry on July 10, 2010.

Where is Marco Pocholo Valencia located?

Marco Pocholo Valencia practices at 412 A Ave Ste 200, Lake Oswego, OR 97034. The listed phone number is (503) 635-2496.

What is Marco Pocholo Valencia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marco Pocholo Valencia enrolled in Medicare?

Yes. Marco Pocholo Valencia 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 Marco Pocholo Valencia accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Marco Pocholo Valencia 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 Marco Pocholo Valencia affiliated with any hospitals?

According to CMS data, Marco Pocholo Valencia is affiliated with Legacy Emanuel Medical Center, Ohsu Hospital And Clinics, Legacy Good Samaritan Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Marco Pocholo Valencia was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.