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DR. RALPH A JUAREZ M.D.
NPI 1699869255
Internal Medicine - Pulmonary Disease in Portland, OR

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
10201 SE MAIN ST STE 11, PORTLAND, OR 97216(503) 253-2248(503) 252-5166 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2025, Apr 12, 2018 (2 updates tracked since 2018).

About Dr. Ralph A Juarez M.d. NPPES

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

DR. RALPH A JUAREZ M.D. (NPI 1699869255) is an individual pulmonary disease provider in Portland, Oregon, licensed in Oregon (MD16116) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and is a graduate of University Of California, San Francisco School Of Medicine (1988).

NPPES Registry Identity

NPI1699869255
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RALPH A JUAREZCredential: M.D.
Location Address10201 SE MAIN ST STE 11Portland, OR 97216-2937
Mailing Address10201 Se Main St Ste 11Portland, OR 97216-2937 · (503) 253-2248
Phone(503) 253-2248
Fax(503) 252-5166
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1988
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1699869255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OR · MD16116
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD16116 (OR)
10201 SE MAIN ST STE 11, Portland, OR 97216
Open in Google Maps ↗

Other Identifiers 1

Medicaid041751OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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. Ralph A Juarez 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 ID4284761552
PECOS Enrollment IDI20100416000821
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
149 services59 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.
120 services83 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
43 services42 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
37 services36 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
36 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380001
Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco 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

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
$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.

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 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers32 claims32 services$30.75 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers11 claims22 services$1.58 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers28 claims28 services$80.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers28 claims77 services$28.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims69 services$14.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers20 claims20 services$45.70 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 2

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

TAI WANG MD
Internal Medicine (Pulmonary Disease)
10201 SE MAIN ST STE 11
PORTLAND, OR 97216
Multnomah County (503) 253-2248
KAMALJIT K ATWAL DO
Internal Medicine (Pulmonary Disease)
10201 SE MAIN ST STE 11
PORTLAND, OR 97216
Multnomah County (503) 253-2248

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 Ralph Juarez's NPI number?

The NPI number for Ralph Juarez is 1699869255. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Ralph Juarez located?

Ralph Juarez practices at 10201 SE Main St Ste 11, Portland, OR 97216. The listed phone number is (503) 253-2248.

What is Ralph Juarez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ralph Juarez enrolled in Medicare?

Yes. Ralph Juarez 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 Ralph Juarez accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Ralph Juarez 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 Ralph Juarez affiliated with any hospitals?

According to CMS data, Ralph Juarez is affiliated with Mid-Columbia Medical Center, Ohsu Hospital And Clinics and Adventist Health Portland.

When was this NPI record last updated?

The NPPES record for Ralph Juarez was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.