GINA GUILLAUME
NPI 1649705682
Family Medicine in Portland, OR

Active since April 27, 2017PECOS EnrolledAccepts Medicare Assignment
10373 NE HANCOCK ST STE 125, PORTLAND, OR 97220(503) 253-6754(503) 253-8020 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gina Guillaume NPPES

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

GINA GUILLAUME (NPI 1649705682) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD205674) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Adventist Health Portland, and maintains a secondary practice location in Harbor City.

NPPES Registry Identity

NPI1649705682
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGINA GUILLAUME
Location Address10373 NE HANCOCK ST STE 125Portland, OR 97220-3873
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769 · Fax (503) 764-9042
Fax(503) 253-8020
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2017
Enumeration DateApril 27, 2017
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1649705682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD205674
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.
10373 NE HANCOCK ST STE 125, Portland, OR 97220

Secondary Practice Location 1

Location 11403 West Lomita Blvd Suite 200Harbor City, CA 90710 · Phone (310) 534-7600

Accepted 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

Gina Guillaume 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 ID2961831060
PECOS Enrollment IDI20240124001618
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 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.
48 services38 patients
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.
30 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

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

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.

Other Providers at the Same Location NPPES 6

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

Technician
10373 NE HANCOCK ST STE 125
PORTLAND, OR 97220
Clinic/Center (Primary Care)
10373 NE HANCOCK ST STE 125
PORTLAND, OR 97220
Technician
10373 NE HANCOCK ST STE 125
PORTLAND, OR 97220
Clinic/Center (Federally Qualified Health Center (FQHC))
10373 NE HANCOCK ST STE 125
PORTLAND, OR 97220
Student in an Organized Health Care Education/Training Program
10373 NE HANCOCK ST STE 125
PORTLAND, OR 97220
Student in an Organized Health Care Education/Training Program
10373 NE HANCOCK ST STE 125
PORTLAND, OR 97220

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 Gina Guillaume's NPI number?

The NPI number for Gina Guillaume is 1649705682. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Gina Guillaume located?

Gina Guillaume practices at 10373 NE Hancock St Ste 125, Portland, OR 97220. The listed phone number is (503) 253-6754.

What is Gina Guillaume's specialty?

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

Is Gina Guillaume enrolled in Medicare?

Yes. Gina Guillaume 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 Gina Guillaume accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Gina Guillaume 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 Gina Guillaume affiliated with any hospitals?

According to CMS data, Gina Guillaume is affiliated with Adventist Health Portland and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Gina Guillaume was last updated on January 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.