DR. RODRIGO PEDRAZA ROSALES M.D.
NPI 1659798932
Colon & Rectal Surgery in Portland, OR

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment
4805 NE GLISAN ST STE 6N60, PORTLAND, OR 97213(503) 281-0561(503) 416-7377 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2026, Apr 21, 2026, Nov 6, 2024 and 5 more (8 updates tracked since 2020).

About Dr. Rodrigo Pedraza Rosales M.d. NPPES

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

DR. RODRIGO PEDRAZA ROSALES M.D. (NPI 1659798932) is an individual colon & rectal surgery provider in Portland, Oregon, licensed in Oregon (MD198032) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1659798932
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. RODRIGO PEDRAZA ROSALESCredential: M.D.
Location Address4805 NE GLISAN ST STE 6N60Portland, OR 97213-2933
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Fax(503) 416-7377
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 24, 2014
Last NPPES UpdateMay 14, 20268 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1659798932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in OR · MD198032
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

4805 NE GLISAN ST STE 6N60, Portland, OR 97213

Secondary Practice Location 1

Location 111000 SW Stratus St Ste 205Beaverton, OR 97008-7104 · Phone (503) 281-0561 · Fax (503) 416-7377

Other Identifiers 2

Medicaid2138897WA
Medicaid500767322OR

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

Dr. Rodrigo Pedraza Rosales 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 ID5698007607
PECOS Enrollment IDI20200811000291
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 7

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.

Diagnostic exam of rectum and lower large bowel using an endoscope 45300
This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.
28 services27 patients
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.
22 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 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.
14 services13 patients
Injection of hemorrhoid 46500
An injection for hemorrhoids involves administering a substance into the swollen tissue to reduce its size. It's a simple, quick procedure, performed in a doctor's office, to help alleviate discomfort and inflammation.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

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 97213 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers13 claims420 services$4.91 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424
DME-Orthotic Devices · category DF010N
1 supplier12 claims220 services$4.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Transplant Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Physician Assistant (Medical)
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213

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 Rodrigo Pedraza Rosales's NPI number?

The NPI number for Rodrigo Pedraza Rosales is 1659798932. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Rodrigo Pedraza Rosales located?

Rodrigo Pedraza Rosales practices at 4805 NE Glisan St Ste 6n60, Portland, OR 97213. The listed phone number is (503) 281-0561.

What is Rodrigo Pedraza Rosales's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Rodrigo Pedraza Rosales enrolled in Medicare?

Yes. Rodrigo Pedraza Rosales 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 Rodrigo Pedraza Rosales accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Rodrigo Pedraza Rosales 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 Rodrigo Pedraza Rosales affiliated with any hospitals?

According to CMS data, Rodrigo Pedraza Rosales is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Rodrigo Pedraza Rosales was last updated on May 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.