TATIANA ZUPEKAN BRINCKERHOFF M.D. - NPI 1578950291

Q: What is Tatiana Brinckerhoff's NPI number?

The NPI number for Tatiana Brinckerhoff is 1578950291. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Q: What is Tatiana Brinckerhoff's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Tatiana Zupekan Brinckerhoff M.d. NPPES

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

TATIANA ZUPEKAN BRINCKERHOFF M.D. (NPI 1578950291) is an individual pediatrics provider in Corvallis, Oregon, licensed in Oregon (MD211003) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578950291

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTATIANA ZUPEKAN BRINCKERHOFFCredential: M.D.

Location Address777 NW 9TH ST STE 320Corvallis, OR 97330-6169

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 768-4900

Sole ProprietorNo

Enumeration DateApril 21, 2015

Last NPPES UpdateNovember 14, 20224 updates tracked since enumeration

NPPES CertifiedNovember 14, 2022

✔ NPI 1578950291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in OR · MD211003✔ Licensed in WI · 69696

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

777 NW 9TH ST STE 320, Corvallis, OR 97330

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Secondary Practice Locations 2

Location 12714 Riverview DrGreen Bay, WI 54313-6715 · Phone (920) 430-4760 · Fax (920) 430-4774

Location 2555 Redbird Cir Ste 200DE Pere, WI 54115-7979 · Phone (920) 338-6820 · Fax (920) 338-6829

Other Identifiers 1

Medicaid100080735WI

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 (PECOS)

Tatiana Zupekan Brinckerhoff M.d. 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 97330 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 13

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

RACHEL WAKEFIELD PSYD

Psychologist (Health)