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ROBERT F WARDA MD
NPI 1699731455
Family Medicine in Portland, OR

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
10201 SE MAIN ST, SUITE 10, PORTLAND, OR 97216(503) 255-2186(503) 255-2194 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert F Warda Md NPPES

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

ROBERT F WARDA MD (NPI 1699731455) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD22986) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Loma Linda University School Of Medicine (1998).

NPPES Registry Identity

NPI1699731455
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT F WARDACredential: MD
Location Address10201 SE MAIN ST, SUITE 10Portland, OR 97216-2937
Mailing AddressPo Box 92900Portland, OR 97292-0900
Phone(503) 255-2186
Fax(503) 255-2194
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1998
Enumeration DateApril 21, 2006
Last NPPES UpdateDecember 26, 2012
✔ NPI 1699731455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD22986
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10201 SE MAIN ST, Portland, OR 97216
Open in Google Maps ↗

Other Identifiers 3

Medicaid287158OR
Medicare UPINH33614
Medicare ID-Type Unspecified110456OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Robert F Warda Md 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 ID42216574
PECOS Enrollment IDI20100713000541
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 6

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.
409 services192 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.
70 services51 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.
47 services38 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.
44 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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
$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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers16 claims52 services$4.99 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$39.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier37 claims37 services$59.36 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.12 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers16 claims16 services$8.84 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 20

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

DR. JEFFREY AARON KOMISAROF MD
Internal Medicine (Nephrology)
10201 SE MAIN ST, SUITE 27
PORTLAND, OR 97216
Multnomah County (503) 256-0877
ANDREW J URI MD
Internal Medicine (Pulmonary Disease)
10201 SE MAIN ST, SUITE 11
PORTLAND, OR 97216
Multnomah County (503) 253-2248
ALEX LAM PHARMD
Pharmacist
10201 SE MAIN ST
PORTLAND, OR 97216
Multnomah County (503) 251-6141
VANESSA L PETERSON MD
Internal Medicine (Sleep Medicine)
10201 SE MAIN ST, PORTLAND LUNG CLINIC
PORTLAND, OR 97216
Multnomah County (503) 253-2248
ENOCH T HUANG MD
Emergency Medicine (Undersea and Hyperbaric Medicine)
10201 SE MAIN ST, SUITE 9
PORTLAND, OR 97216
Multnomah County (503) 252-4325
MARC M MOROYE MD
Internal Medicine
10201 SE MAIN ST, SUITE 12
PORTLAND, OR 97216
Multnomah County (503) 255-7550
JENNA CLOWERS PA-C
Physician Assistant
10201 SE MAIN ST, SUITE 9
PORTLAND, OR 97216
Multnomah County (503) 252-4325
MARILYN LUZOD MENDOZA NP
Nurse Practitioner
10201 SE MAIN ST, SUITE 29
PORTLAND, OR 97216
Multnomah County (503) 251-6363

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 Robert Warda's NPI number?

The NPI number for Robert Warda is 1699731455. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Robert Warda located?

Robert Warda practices at 10201 SE Main St Suite 10, Portland, OR 97216. The listed phone number is (503) 255-2186.

What is Robert Warda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Warda enrolled in Medicare?

Yes. Robert Warda 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 Robert Warda accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Robert Warda 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 Robert Warda affiliated with any hospitals?

According to CMS data, Robert Warda is affiliated with Ohsu Hospital And Clinics and Adventist Health Portland.

When was this NPI record last updated?

The NPPES record for Robert Warda was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.