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FAWN MELANIE WOLF M.D.
NPI 1689636557
Internal Medicine - Endocrinology, Diabetes & Metabolism in Portland, OR

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
9155 SW BERNES RD., SUITE 638, PORTLAND, OR 97225(503) 216-7000(503) 216-6940 Get Directions Write a Review

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

Record update history: Mar 25, 2021, Jan 23, 2019 (2 updates tracked since 2019).

About Fawn Melanie Wolf M.d. NPPES

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

FAWN MELANIE WOLF M.D. (NPI 1689636557) is an individual endocrinology, diabetes & metabolism provider in Portland, Oregon, licensed in Oregon (MD25195) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Medical College Of Ohio (2002).

NPPES Registry Identity

NPI1689636557
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameFAWN MELANIE WOLFCredential: M.D.
Location Address9155 SW BERNES RD., SUITE 638Portland, OR 97225
Mailing Address9155 Sw Bernes Rd., Suite 638Portland, OR 97225 · (503) 216-7000 · Fax (503) 216-6940
Phone(503) 216-7000
Fax(503) 216-6940
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 2002
Enumeration DateApril 5, 2006
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1689636557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in OR · MD25195
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD25195 (OR)
9155 SW BERNES RD., Portland, OR 97225
Open in Google Maps ↗

Other Names 1

Former Name (1)Fawn Melanie Juvinall M.d.

Other Identifiers 1

Medicaid277859OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Fawn Melanie Wolf 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 ID4486682028
PECOS Enrollment IDI20050803000828
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 Fawn Wolf reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
Same address
Clinic/Center
9205 SW BARNES RD, SUITE 20
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1235259532 (503) 216-2229
Providence Health & Services Oregon
Same address
Primary Care
9205 SW BARNES RD, MT7878
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1053403394 (503) 216-4961
Portland Diabetes & Endocrinology
0.1 mi
Endocrinology, Diabetes & Metabolism
9135 SW BARNES RD STE 985
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 11 clinicians in this Medicare group
NPI 1942419569 (503) 297-3336
Providence Health & Services - Oregon
7.9 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000

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

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.

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.
177 services114 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.
64 services60 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.
28 services28 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
27 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services17 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas 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 97225 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers26 claims320 services$18.03 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers20 claims610 services$2.25 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers18 claims91 services$6.86 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers27 claims27 services$297.76 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
8 suppliers25 claims1,860 services$7.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers147 claims147 services$176.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Fawn Wolf's NPI number?

The NPI number for Fawn Wolf is 1689636557. It was assigned to this individual provider in the NPPES registry on April 5, 2006. The provider is also known as Fawn Melanie Juvinall M.D..

Where is Fawn Wolf located?

Fawn Wolf practices at 9155 SW Bernes Rd. Suite 638, Portland, OR 97225. The listed phone number is (503) 216-7000.

What is Fawn Wolf's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Fawn Wolf enrolled in Medicare?

Yes. Fawn Wolf 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 organizations bill Medicare for Fawn Wolf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fawn Wolf reassigns Medicare benefits to 4 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services Oregon (Portland, OR), Portland Diabetes & Endocrinology (Portland, OR) and Providence Health & Services - Oregon (Portland, OR). 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 Fawn Wolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fawn Wolf accept?

Health plans from Providence Health Plan list Fawn Wolf 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 Fawn Wolf affiliated with any hospitals?

According to CMS data, Fawn Wolf is affiliated with Providence St Vincent Medical Center, Ohsu Hospital And Clinics, Providence Newberg Medical Center, Providence Willamette Falls Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Fawn Wolf was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.