ELLEN MOONEY DO
NPI 1528417169
Internal Medicine - Addiction Medicine in Portland, OR

Q: What is Ellen Mooney's NPI number?

The NPI number for Ellen Mooney is 1528417169. It was assigned to this individual provider in the NPPES registry on June 5, 2016.

Q: What is Ellen Mooney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Mooney was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 05, 2016PECOS Enrolled

1535 N WILLIAMS AVE, PORTLAND, OR 97227(503) 238-2067 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Ellen Mooney Do NPPES

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

ELLEN MOONEY DO (NPI 1528417169) is an individual addiction medicine provider in Portland, Oregon, licensed in Oregon (DO197830) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528417169

Entity TypeIndividualFemale

Primary Taxonomy207RA0401X

Provider Legal NameELLEN MOONEYCredential: DO

Location Address1535 N WILLIAMS AVEPortland, OR 97227-1885

Mailing Address1535 N Williams AvePortland, OR 97227-1885 · (503) 238-2067

Phone(503) 238-2067

Sole ProprietorNo

Enumeration DateJune 5, 2016

Last NPPES UpdateJanuary 11, 2022

NPPES CertifiedJanuary 11, 2022

✔ NPI 1528417169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in OR · DO197830

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

1535 N WILLIAMS AVE, Portland, OR 97227

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Mooney Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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.

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.

DAVID PRITCHETT PA

Physician Assistant