MANIA KUPERSHTOK
NPI 1528457397
Family Medicine in Woodburn, OR

Q: What is Mania Kupershtok's NPI number?

The NPI number for Mania Kupershtok is 1528457397. It was assigned to this individual provider in the NPPES registry on January 16, 2015.

Q: What is Mania Kupershtok's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mania Kupershtok was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 16, 2015PECOS EnrolledAccepts Medicare Assignment

1175 MOUNT HOOD AVE, WOODBURN, OR 97071(503) 982-2000(503) 982-0660 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2021, Aug 15, 2019 (2 updates tracked since 2019).

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About Mania Kupershtok NPPES

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

MANIA KUPERSHTOK (NPI 1528457397) is an individual family medicine provider in Woodburn, Oregon, licensed in Oregon (MD193501) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Legacy Silverton Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528457397

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMANIA KUPERSHTOK

Location Address1175 MOUNT HOOD AVEWoodburn, OR 97071-9060

Mailing Address1175 Mount Hood AveWoodburn, OR 97071-9060 · (503) 982-2000 · Fax (503) 982-0660

Phone(503) 982-2000

Fax(503) 982-0660

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 16, 2015

Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration

NPPES CertifiedMarch 18, 2021

✔ NPI 1528457397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD193501

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1175 MOUNT HOOD AVE, Woodburn, OR 97071

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

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

Mania Kupershtok 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 ID6800161977

PECOS Enrollment IDI20170929001958, I20190913001586

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

Medicare enrollment records show Mania Kupershtok reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yakima Valley Farm Workers Clinic

Same address

Federally Qualified Health Center (FQHC)

1175 MOUNT HOOD AVE
Woodburn, OR 97071

Reassigned Medicare billing, Oregon enrollment
81 clinicians in this Medicare group

NPI 1972556496 (503) 982-2000

Willamette Valley Clinics LLC

16 mi

Family Medicine

2700 SE STRATUS AVE, STE. 302
Mcminnville, OR 97128

Reassigned Medicare billing, Oregon enrollment
76 clinicians in this Medicare group

NPI 1790740520 (503) 474-2565

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Legacy Silverton Medical Center

Acute Care Hospitals · Silverton, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380029

Location342 Fairview StreetSilverton, OR 97381 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97071 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

JESUS CARRILLO

Physician Assistant