DR. GWENDOLYN EDEEN MD
NPI 1619555356
Ophthalmology in Portland, OR

Q: What is Gwendolyn Edeen's NPI number?

The NPI number for Gwendolyn Edeen is 1619555356. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Gwendolyn Edeen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gwendolyn Edeen was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-3000(503) 494-4286 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 25, 2025, Mar 7, 2025, Apr 1, 2021 (3 updates tracked since 2021).

On this page

About Dr. Gwendolyn Edeen Md NPPES

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

DR. GWENDOLYN EDEEN MD (NPI 1619555356) is an individual ophthalmology provider in Portland, Oregon, licensed in Oregon (MD224237) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1619555356

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. GWENDOLYN EDEENCredential: MD

Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011

Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-3000 · Fax (503) 494-4286

Phone(503) 494-3000

Fax(503) 494-4286

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration

NPPES CertifiedJuly 17, 2025

✔ NPI 1619555356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OR · MD224237

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Open in Google Maps ↗

Secondary Practice Location 1

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-8948

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Gwendolyn Edeen 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 ID8820511504

PECOS Enrollment IDI20250403000518

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 Gwendolyn Edeen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Professional Services

Same address

General Practice

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

Reassigned Medicare billing, Oregon enrollment
2,212 clinicians in this Medicare group

NPI 1376709535 (503) 494-8311

Legacy Good Samaritan Hospital And Medical Center

2.2 mi

General Acute Care Hospital

1015 NW 22ND AVE
Portland, OR 97210

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

NPI 1780608216 (503) 413-7711

Legacy Emanuel Hospital & Health Center

2.5 mi

General Acute Care Hospital

1225 NE 2ND AVE
Portland, OR 97232

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

NPI 1003367491 (503) 944-8000

Starling Physicians, PLLC

2,478 mi

Clinical Medical Laboratory

1 LAKE ST, GROVE HILL MEDICAL CENTER
New Britain, CT 06052

Reassigned Medicare billing, Connecticut enrollment
468 clinicians in this Medicare group

NPI 1437252806 (860) 827-4600

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 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

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.

DONALD RICHARD SULLIVAN MD

Internal Medicine (Pulmonary Disease)

3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239

Multnomah County (503) 494-6949

MRS. ANJALEE NIX ROWE NP

Nurse Practitioner (Acute Care)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-3988

REEM HASAN MD

Internal Medicine

3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239

Multnomah County (503) 494-8562

DR. AMANDA D BALL PSY.D

Psychologist (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-6176

SUNSHINE WELSCH LMT

Massage Therapist

3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239

Multnomah County (503) 494-8349

DR. ROBERT GENE MEALER M.D., PH.D.

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-6176

GREGORY HALL MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

DR. BURHAN AHMED MIAN MD

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

KARINA RAE ESPANA MD

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

CLAIRE SAHLBERG RUGGERI MD

Pediatrics

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8220

KIMBERLY LAUREN IMBESI MD

Emergency Medicine

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8211

ANN PERRIN

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8211

KRIS KUMAR

Internal Medicine (Interventional Cardiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

SARAH POWER LCSW

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-0849

SHAHRZAD SHARAFI MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

JULIE MARIE MARTIN

Dietitian, Registered

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-5466

DR. SONYA FABRICANT MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-4500

BRENDA BONILLA

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-2273

KAYLEE PURPURA

Otolaryngology

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8510

MOLLY ANDERSON PA-C

Physician Assistant (Medical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-4910

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 Gwendolyn Edeen's NPI number?

The NPI number for Gwendolyn Edeen is 1619555356. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Gwendolyn Edeen located?

Gwendolyn Edeen practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-3000.

What is Gwendolyn Edeen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gwendolyn Edeen enrolled in Medicare?

Yes. Gwendolyn Edeen 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.

Which organizations bill Medicare for Gwendolyn Edeen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Edeen reassigns Medicare benefits to 4 organizations: University Professional Services (Portland, OR), Legacy Good Samaritan Hospital And Medical Center (Portland, OR), Legacy Emanuel Hospital & Health Center (Portland, OR) and Starling Physicians, PLLC (New Britain, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gwendolyn Edeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwendolyn Edeen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gwendolyn Edeen 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 Gwendolyn Edeen affiliated with any hospitals?

According to CMS data, Gwendolyn Edeen is affiliated with Ohsu Hospital And Clinics and Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Gwendolyn Edeen was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.