JON D PRULHIERE MD
NPI 1700857174
Internal Medicine in Medford, OR

Q: What is Jon Prulhiere's NPI number?

The NPI number for Jon Prulhiere is 1700857174. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Q: What is Jon Prulhiere's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Prulhiere was last updated on November 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 01, 2006PECOS Enrolled

87.76/100

CMS Quality Rating

1200 MIRA MAR AVE, MEDFORD, OR 97504(541) 664-5151 Get Directions Write a Review

NPPES record last updated: November 26, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jon D Prulhiere Md NPPES

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

JON D PRULHIERE MD (NPI 1700857174) is an individual internal medicine provider in Medford, Oregon, licensed in Oregon (MD23533) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (1998).

NPPES Registry Identity

NPI1700857174

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJON D PRULHIERECredential: MD

Location Address1200 MIRA MAR AVEMedford, OR 97504-8546

Mailing Address1208 Beall LnCentral Point, OR 97502-1573 · (541) 664-5151

Phone(541) 664-5151

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1998

Enumeration DateFebruary 1, 2006

Last NPPES UpdateNovember 26, 2007

✔ NPI 1700857174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · MD23533

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1200 MIRA MAR AVE, Medford, OR 97504

Open in Google Maps ↗

Other Identifiers 1

Medicare PINR115140OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon D Prulhiere Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123040888

PECOS Enrollment IDI20051221000727

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

Medicare enrollment records show Jon Prulhiere reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Medical Foundation Of Tillamook

192 mi

Rural Health

1105 SE JETTY AVE
Lincoln City, OR 97367

Reassigned Medicare billing, Oregon enrollment
206 clinicians in this Medicare group

NPI 1811238322 (541) 614-0482

County Of Tillamook

207 mi

Federally Qualified Health Center (FQHC)

34325 HIGHWAY 101 S
Cloverdale, OR 97112

Reassigned Medicare billing, Oregon enrollment
9 clinicians in this Medicare group

NPI 1730341975 (503) 842-3900

Providence Health & Services - Oregon

221 mi

General Acute Care Hospital

9205 SW BARNES RD
Portland, OR 97225

Reassigned Medicare billing, Oregon enrollment
753 clinicians in this Medicare group

NPI 1114015971 (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 4

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

70 services45 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

49 services33 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

28 services23 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381302

Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County

Emergency services Birthing friendly

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR

OwnershipVoluntary non-profit - Church

CMS Certification Number381303

Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County

Emergency services Birthing friendly

Adventist Health Tillamook

Critical Access Hospitals · Tillamook, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381317

Location1000 Third StreetTillamook, OR 97141 · Tillamook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Cost

74.03

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier14 claims14 services$50.40 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.

KELLY ANN REID

Speech-Language Pathologist

1200 MIRA MAR AVE
MEDFORD, OR 97504

Jackson County (541) 848-7868

MATTHEW G HARMESTON

Physical Therapy Assistant

1200 MIRA MAR AVE
MEDFORD, OR 97504

Jackson County (541) 857-7777

ERIN TYLER BAYNE DPT

Physical Therapist

1200 MIRA MAR AVE
MEDFORD, OR 97504

Jackson County (425) 737-0482

RUBY JUNE

Physical Therapy Assistant

1200 MIRA MAR AVE
MEDFORD, OR 97504

Jackson County (541) 857-7777

SUSAN BASILICATO NP

Registered Nurse (General Practice)

1200 MIRA MAR AVE
MEDFORD, OR 97504

Jackson County (541) 664-5151

MR. PETER KRALIK COTA

Occupational Therapy Assistant

1200 MIRA MAR AVE, ROGUE VALLEY MANOR
MEDFORD, OR 97504

Jackson County (541) 857-7432

JUNNE LICATA

Physical Therapy Assistant

1200 MIRA MAR AVE
MEDFORD, OR 97504

Jackson County (541) 857-7131

LISA M JOHNSTON LMT

Massage Therapist

1200 MIRA MAR AVE, C/O EMA'S SALON
MEDFORD, OR 97504

Jackson County (541) 857-7365

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 Jon Prulhiere's NPI number?

The NPI number for Jon Prulhiere is 1700857174. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Jon Prulhiere located?

Jon Prulhiere practices at 1200 Mira Mar Ave, Medford, OR 97504. The listed phone number is (541) 664-5151.

What is Jon Prulhiere's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jon Prulhiere enrolled in Medicare?

Yes. Jon Prulhiere is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jon Prulhiere's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Prulhiere reassigns Medicare benefits to 3 organizations: Northwest Medical Foundation Of Tillamook (Lincoln City, OR), County Of Tillamook (Cloverdale, 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 Jon Prulhiere's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Prulhiere accept?

Health plans from Moda Health Plan, Inc. list Jon Prulhiere 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 Jon Prulhiere affiliated with any hospitals?

According to CMS data, Jon Prulhiere is affiliated with Providence St Vincent Medical Center, Samaritan North Lincoln Hospital, Providence Seaside Hospital and Adventist Health Tillamook.

When was this NPI record last updated?

The NPPES record for Jon Prulhiere was last updated on November 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.