1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Internal Medicine
  6. NPI Profile

THOMAS DAVID HARBURG M.D.
NPI 1659384022
Internal Medicine - Geriatric Medicine in Portland, OR

Active since August 15, 2006PECOS Enrolled
1700 NE 102ND AVE, PORTLAND, OR 97220(971) 229-6767(971) 229-6766 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas David Harburg M.d. NPPES

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

THOMAS DAVID HARBURG M.D. (NPI 1659384022) is an individual geriatric medicine provider in Portland, Oregon, licensed in Oregon (MD12447) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659384022
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameTHOMAS DAVID HARBURGCredential: M.D.
Location Address1700 NE 102ND AVEPortland, OR 97220-3804
Mailing Address1700 Ne 102nd AvePortland, OR 97220-3804
Phone(971) 229-6767
Fax(971) 229-6766
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1659384022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in OR · MD12447
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1700 NE 102ND AVE, Portland, OR 97220
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas David Harburg 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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Harburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
4.1 mi
General Practice
3060 SE HAWTHORNE BLVD
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 3,207 clinicians in this Medicare group
NPI 1063990695 (800) 813-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
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 20

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

DR. SAMANTHA MACLEOD POTTER D.O.
Family Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (800) 813-2000
TONY J ZHAO RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 229-6990
ALLEN LEE PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (866) 279-4581
KATELYN HAYWORTH PHARMD
Pharmacist
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 229-6768
CHRISTINE ANNE VAN WIE FNP
Nurse Practitioner (Family)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 813-2000
MS. JESSIE ROBERTA HANN MS,RD,LD,CD,CDCES
Dietitian, Registered
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 250-4326
DR. JENNIFER S LIN MD
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 813-2000
KAVYA TIMMIREDDY MD
Family Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (800) 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 Thomas Harburg's NPI number?

The NPI number for Thomas Harburg is 1659384022. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Thomas Harburg located?

Thomas Harburg practices at 1700 NE 102nd Ave, Portland, OR 97220. The listed phone number is (971) 229-6767.

What is Thomas Harburg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Thomas Harburg enrolled in Medicare?

Yes. Thomas Harburg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Harburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Harburg reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). The 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 Thomas Harburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Harburg was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.