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KATHERINE PAMELA RATHBUN CNP
NPI 1518442391
Nurse Practitioner - Gerontology in Portland, OR

Active since September 27, 2018PECOS EnrolledAccepts Medicare Assignment
93.11/100
CMS Quality Rating
1111 NE 99TH AVE STE 301, PORTLAND, OR 97220(503) 963-2707(503) 963-2802 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2024, Apr 22, 2020, Oct 18, 2018 and 1 more (4 updates tracked since 2018).

About Katherine Pamela Rathbun Cnp NPPES

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

KATHERINE PAMELA RATHBUN CNP (NPI 1518442391) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (202002814NP-PP) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1518442391
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATHERINE PAMELA RATHBUNCredential: CNP
Location Address1111 NE 99TH AVE STE 301Portland, OR 97220-9442
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 963-2707
Fax(503) 963-2802
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 27, 2018
Last NPPES UpdateNovember 26, 20244 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1518442391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OR · 202002814NP-PP
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2327329 (MA)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN2327329 (MA), 202002814NP-PP (OR)
1111 NE 99TH AVE STE 301, Portland, OR 97220
Open in Google Maps ↗

Other Identifiers 2

Medicaid500781895OR
Medicaid2156093WA

Accepted Insurance

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

Katherine Pamela Rathbun Cnp 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 ID4587900055
PECOS Enrollment IDI20200427002716
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 3

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.
140 services50 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.
30 services30 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.
29 services19 patients

Hospital Affiliations CMS Care Compare

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

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.

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.

93.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.14
Promoting Interoperability100
Improvement Activities40
Cost78.74

Other Providers at the Same Location NPPES 16

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

MICHAEL BARTH PA-C
Physician Assistant
1111 NE 99TH AVE STE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
DR. BRANDEN DAVID TARLOW MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE STE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
IAN HOLMES MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE STE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
DR. GENNADIY BAKIS M.D.
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE STE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
TIFFANY LAMBROU M.D.
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE STE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
MEGAN CHRISTINA WEST FNP
Nurse Practitioner (Family)
1111 NE 99TH AVE STE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
JENNIFER YEH MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE STE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
AARON STEUART COSMAN FNP
Nurse Practitioner (Family)
1111 NE 99TH AVE STE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707

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 Katherine Rathbun's NPI number?

The NPI number for Katherine Rathbun is 1518442391. It was assigned to this individual provider in the NPPES registry on September 27, 2018.

Where is Katherine Rathbun located?

Katherine Rathbun practices at 1111 NE 99th Ave Ste 301, Portland, OR 97220. The listed phone number is (503) 963-2707.

What is Katherine Rathbun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Katherine Rathbun enrolled in Medicare?

Yes. Katherine Rathbun 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 Katherine Rathbun accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Katherine Rathbun 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 Katherine Rathbun affiliated with any hospitals?

According to CMS data, Katherine Rathbun is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Rathbun was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.