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DR. JEFFREY DAVID MUDRICK M.D.
NPI 1669592697
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since March 31, 2007PECOS EnrolledAccepts Medicare Assignment
5050 NE HOYT ST STE 522, PORTLAND, OR 97213(503) 236-4343(503) 234-0271 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeffrey David Mudrick M.d. NPPES

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

DR. JEFFREY DAVID MUDRICK M.D. (NPI 1669592697) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD163714) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Missouri, Columbia School Of Medicine (2004).

NPPES Registry Identity

NPI1669592697
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JEFFREY DAVID MUDRICKCredential: M.D.
Location Address5050 NE HOYT ST STE 522Portland, OR 97213
Mailing Address5050 Ne Hoyt St Ste 522Portland, OR 97213-2984 · (503) 236-4343 · Fax (503) 234-0271
Phone(503) 236-4343
Fax(503) 234-0271
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2004
Enumeration DateMarch 31, 2007
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1669592697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OR · MD163714
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5050 NE HOYT ST STE 522, Portland, OR 97213
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1400 NE Mother Joseph PlVancouver, WA 98664-3200 · Phone (360) 514-2000
Location 23400 Main StVancouver, WA 98663-2223 · Phone (360) 696-5232

Other Identifiers 1

Other11984603Caqh

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey David Mudrick 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 ID9931254273
PECOS Enrollment IDI20170719003187
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 Jeffrey Mudrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
1.5 mi
General Practice
3060 SE HAWTHORNE BLVD
Portland, OR 97214
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 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 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
$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
$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 4

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

DR. RIVA MURARI SHAH MD
Psychiatry & Neurology (Psychiatry)
5050 NE HOYT ST STE 522
PORTLAND, OR 97213
Multnomah County (424) 234-3369
MEAGAN SHAW MS, LPC ASSOCIATE
Counselor (Mental Health)
5050 NE HOYT ST STE 522
PORTLAND, OR 97213
Multnomah County (541) 513-7303
DR. RENATA YANG M.D., M.P.H.
Psychiatry & Neurology (Psychiatry)
5050 NE HOYT ST STE 522
PORTLAND, OR 97213
Multnomah County (503) 236-4343
DR. SUZANNE MANSER PH.D.
Psychologist (Clinical)
5050 NE HOYT ST STE 522
PORTLAND, OR 97213
Multnomah County (503) 236-4343

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 Jeffrey Mudrick's NPI number?

The NPI number for Jeffrey Mudrick is 1669592697. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Where is Jeffrey Mudrick located?

Jeffrey Mudrick practices at 5050 NE Hoyt St Ste 522, Portland, OR 97213. The listed phone number is (503) 236-4343.

What is Jeffrey Mudrick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jeffrey Mudrick enrolled in Medicare?

Yes. Jeffrey Mudrick 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.

Which organization bills Medicare for Jeffrey Mudrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Mudrick 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 Jeffrey Mudrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Mudrick accept?

Health plans from Kaiser Permanente list Jeffrey Mudrick 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 Jeffrey Mudrick was last updated on September 26, 2023. 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.