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BRIAN PAUL SCOTTOLINE MD, PHD
NPI 1669409223
Pediatrics - Neonatal-Perinatal Medicine in Portland, OR

Active since June 27, 2006PECOS Enrolled
707 SW GAINES ST, CDRC-P, PORTLAND, OR 97239(503) 494-2613 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2021, Jun 6, 2017 (2 updates tracked since 2017).

About Brian Paul Scottoline Md, Phd NPPES

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

BRIAN PAUL SCOTTOLINE MD, PHD (NPI 1669409223) is an individual neonatal-perinatal medicine provider in Portland, Oregon, licensed in Washington (MD60211161) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1669409223
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameBRIAN PAUL SCOTTOLINECredential: MD, PHD
Location Address707 SW GAINES ST, CDRC-PPortland, OR 97239-1507
Mailing Address707 Sw Gaines St., Cdrc-pPortland, OR 97239 · (503) 494-2613
Phone(503) 494-2613
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1669409223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in WA · MD60211161✔ Licensed in OR · 160149✔ Licensed in CA · A66414
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License A66414 (CA)
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License A66414 (CA)
707 SW GAINES ST, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 1505 NE 87th Ave Ste 160Vancouver, WA 98664-1965 · Phone (360) 514-1060 · Fax (360) 514-1065

Other Identifiers 1

Medicaid00A664140CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Paul Scottoline Md, Phd 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 Reassignments

4

Medicare enrollment records show Brian Scottoline reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Professional Services
Same address
Multi-Specialty
707 SW GAINES ST
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1073767588 (503) 494-9000
Portland Adventist Medical Center
6.2 mi
Anesthesiology
10123 SE MARKET ST
Portland, OR 97216
  • Reassigned Medicare billing, Oregon enrollment
  • 331 clinicians in this Medicare group
NPI 1437925310 (503) 251-6136
Peacehealth
9.9 mi
Surgery
505 NE 87TH AVE, SUITE 301
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 307 clinicians in this Medicare group
NPI 1609061969 (360) 514-7374
Peacehealth
9.9 mi
General Acute Care Hospital
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 244 clinicians in this Medicare group
NPI 1134178999 (360) 256-2000

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

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.

MS. MARGARET WOLF
Occupational Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8095
MRS. LEAH BJORNSKOV WESSENBERG FNP
Nurse Practitioner (Family)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-7859
DR. MICHAEL AVRAM HARRIS PH.D.
Psychologist (Clinical Child & Adolescent)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8942
DANIELLE MOYER PHD
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-6337
DAVID L. OLESON PT
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (800) 452-3563
DR. DIANA VAZQUEZ DUQUE PHD
Counselor (Mental Health)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-0199
JESSICA NASON
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (860) 917-2128
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-9000

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 Brian Scottoline's NPI number?

The NPI number for Brian Scottoline is 1669409223. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Brian Scottoline located?

Brian Scottoline practices at 707 SW Gaines St Cdrc-P, Portland, OR 97239. The listed phone number is (503) 494-2613.

What is Brian Scottoline's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Brian Scottoline enrolled in Medicare?

Yes. Brian Scottoline is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brian Scottoline's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Scottoline reassigns Medicare benefits to 4 organizations: University Professional Services (Portland, OR), Portland Adventist Medical Center (Portland, OR), Peacehealth (Vancouver, WA) and Peacehealth (Vancouver, WA). Each 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 Brian Scottoline's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Scottoline accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Brian Scottoline 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.

When was this NPI record last updated?

The NPPES record for Brian Scottoline was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.