LISA LYNN DIEPENHORST MD
NPI 1710924972
Obstetrics & Gynecology in Portland, OR

Q: What is Lisa Diepenhorst's NPI number?

The NPI number for Lisa Diepenhorst is 1710924972. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Lisa Diepenhorst's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Diepenhorst was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment

1130 NW 22ND AVE STE 520, PORTLAND, OR 97210(503) 274-4800(503) 274-4917 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Oct 14, 2022, Jun 15, 2016 and 1 more (4 updates tracked since 2015).

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About Lisa Lynn Diepenhorst Md NPPES

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

LISA LYNN DIEPENHORST MD (NPI 1710924972) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD26602) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2002).

NPPES Registry Identity

NPI1710924972

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLISA LYNN DIEPENHORSTCredential: MD

Location Address1130 NW 22ND AVE STE 520Portland, OR 97210-2976

Mailing Address7650 Sw Beveland Rd Ste 200Portland, OR 97223-8692 · (503) 601-3615 · Fax (503) 646-1683

Phone(503) 274-4800

Fax(503) 274-4917

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2002

Enumeration DateMay 31, 2006

Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1710924972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OR · MD26602

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1130 NW 22ND AVE STE 520, Portland, OR 97210

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Other Identifiers 1

Medicaid240035OR

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

Lisa Lynn Diepenhorst 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 ID6305858481

PECOS Enrollment IDI20060609000037

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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

$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 6

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

CARRIE E. FREDERICK MD

Obstetrics & Gynecology