1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Family Medicine
  6. NPI Profile

JOSE MANUEL NEGRON MD
NPI 1548351877
Family Medicine in Portland, OR

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
1321 NE 99TH AVE, SUITE 200, PORTLAND, OR 97220(503) 215-4250 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 22, 2021, Feb 15, 2021 (2 updates tracked since 2021).

About Jose Manuel Negron Md NPPES

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

JOSE MANUEL NEGRON MD (NPI 1548351877) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD172848) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2003).

NPPES Registry Identity

NPI1548351877
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSE MANUEL NEGRONCredential: MD
Location Address1321 NE 99TH AVE, SUITE 200Portland, OR 97220-9436
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 215-4250
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2003
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1548351877 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 · MD172848✔ Licensed in WI · 49619✔ Licensed in NM · MD2012-0883
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.
1321 NE 99TH AVE, Portland, OR 97220
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Jose Manuel Negron 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 ID7719985209
PECOS Enrollment IDI20150904000870
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services37 patients
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.
52 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims44 services$6.51 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims18 services$185.70 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.

KIMBERLY A SMITH-CUPANI MD
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 97220
Multnomah County (503) 215-9900
THUY LIEN THI HOANG MD
Family Medicine
1321 NE 99TH AVE, STE 100
PORTLAND, OR 97220
Multnomah County (503) 215-9900
KIMBERLY A SHIELDS DO
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
MARIA LUISA CONSTANTE MD
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
MAHNAZ AHMAD M.D.
Internal Medicine
1321 NE 99TH AVE, STE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
PROVIDENCE HEALTH & SERVICES - OREGON
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
DANIEL M ROSENBERG MD
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250

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 Jose Negron's NPI number?

The NPI number for Jose Negron is 1548351877. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jose Negron located?

Jose Negron practices at 1321 NE 99th Ave Suite 200, Portland, OR 97220. The listed phone number is (503) 215-4250.

What is Jose Negron's specialty?

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

Is Jose Negron enrolled in Medicare?

Yes. Jose Negron 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 Jose Negron accept?

Health plans from Providence Health Plan list Jose Negron 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 Jose Negron affiliated with any hospitals?

According to CMS data, Jose Negron is affiliated with Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Jose Negron was last updated on March 22, 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.