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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREA SUSAN HERZKA MD
NPI 1629083118
Orthopaedic Surgery - Sports Medicine in Portland, OR

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
1 N CENTER COURT ST STE 110, PORTLAND, OR 97227(360) 254-6161 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Andrea Susan Herzka Md NPPES

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

ANDREA SUSAN HERZKA MD (NPI 1629083118) is an individual sports medicine provider in Portland, Oregon, licensed in Oregon (MD25988) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629083118
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameANDREA SUSAN HERZKACredential: MD
Location Address1 N CENTER COURT ST STE 110Portland, OR 97227-2104
Mailing Address200 Ne Mother Joseph Pl Ste 210Vancouver, WA 98664-3295 · (360) 254-6161
Phone(360) 254-6161
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1999
Enumeration DateJuly 31, 2006
Last NPPES UpdateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1629083118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in OR · MD25988✔ Licensed in WA · MD.MD.70126441
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD.MD.70126441 (WA), MD25988 (OR)
1 N CENTER COURT ST STE 110, Portland, OR 97227
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Secondary Practice Locations 2

Location 1200 NE Mother Joseph Pl Ste 110Vancouver, WA 98664-3293 · Phone (360) 254-6161
Location 24811 Meadows Rd Ste 101Lake Oswego, OR 97035-2542 · Phone (360) 254-6161

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 and accepts Medicare assignment

Andrea Susan Herzka 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 ID2567487515
PECOS Enrollment IDI20051010000603
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.

Hospital Affiliations CMS Care Compare

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MR. DOUGLAS P ROSARIO PT
Physical Therapist
1 N CENTER COURT ST STE 110
PORTLAND, OR 97227
Multnomah County (503) 797-9585
GEORGE ANDRADA DPT
Physical Therapist
1 N CENTER COURT ST STE 110
PORTLAND, OR 97227
Multnomah County (360) 254-6161
NORTHWEST SURGICAL SPECIALISTS, P.C.
Orthopaedic Surgery
1 N CENTER COURT ST STE 110
PORTLAND, OR 97227
Multnomah County (360) 254-6161
MEGHAN FUGLESTAD PT
Physical Therapist
1 N CENTER COURT ST STE 110
PORTLAND, OR 97227
Multnomah County (360) 254-6161
NORTHWEST SURGICAL SPECIALISTS PC
Durable Medical Equipment & Medical Supplies
1 N CENTER COURT ST STE 110
PORTLAND, OR 97227
Multnomah County (360) 254-6161

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 Andrea Herzka's NPI number?

The NPI number for Andrea Herzka is 1629083118. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Andrea Herzka located?

Andrea Herzka practices at 1 N Center Court St Ste 110, Portland, OR 97227. The listed phone number is (360) 254-6161.

What is Andrea Herzka's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Andrea Herzka enrolled in Medicare?

Yes. Andrea Herzka 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 Andrea Herzka accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Andrea Herzka 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 Andrea Herzka affiliated with any hospitals?

According to CMS data, Andrea Herzka is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Andrea Herzka was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.