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DR. AMANDA FOBARE M.D.
NPI 1639564941
Surgery - Vascular Surgery in Clackamas, OR

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-3069 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amanda Fobare M.d. NPPES

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

DR. AMANDA FOBARE M.D. (NPI 1639564941) is an individual vascular surgery provider in Clackamas, Oregon, licensed in Oregon (MD211597) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1639564941
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. AMANDA FOBARECredential: M.D.
Location Address10100 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address10100 Se Sunnyside RdClackamas, OR 97015-8970 · (503) 571-3069
Phone(503) 571-3069
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1639564941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in OR · MD211597
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
10100 SE SUNNYSIDE RD, Clackamas, OR 97015
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Secondary Practice Location 1

Location 11364 Clifton Rd NE, H100 Emory University Hospital, 1st FloorAtlanta, GA 30322-1059 · Phone (404) 727-0093

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Dr. Amanda Fobare M.d. 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 ID941678874
PECOS Enrollment IDI20221123002324, I20221123002421
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.

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$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.

LOREN EDWARD JENKINS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 786-8435
JENNIFER MATTSON M.D.
Internal Medicine (Cardiovascular Disease)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
HEATHER BUFFORD CRUMMETT M.D.
Obstetrics & Gynecology
10100 SE SUNNYSIDE RD, MOUNT TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
Clackamas County (503) 571-8163
MRS. TAMI RACHEL COCHRAN PTA
Physical Therapy Assistant
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 666-7736
CANDY CHAU
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (866) 280-1228
HEATHER CAREY RN
Registered Nurse (Ambulatory Care)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
ALLYSON ADAMS
Family Medicine
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
KELLY ELIZABETH JACKSON PT, DPT
Physical Therapist (Orthopedic)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000

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 Amanda Fobare's NPI number?

The NPI number for Amanda Fobare is 1639564941. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Amanda Fobare located?

Amanda Fobare practices at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-3069.

What is Amanda Fobare's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Amanda Fobare enrolled in Medicare?

Yes. Amanda Fobare 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 Amanda Fobare accept?

Health plans from Kaiser Permanente list Amanda Fobare 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 Amanda Fobare affiliated with any hospitals?

According to CMS data, Amanda Fobare is affiliated with Kaiser Sunnyside Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Fobare was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.