PAIGE PFUNDER D.O.
NPI 1730474974
Internal Medicine in Gresham, OR
About Paige Pfunder D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIGE PFUNDER D.O. (NPI 1730474974) is an individual internal medicine provider in Gresham, Oregon, licensed in Oregon (DO169578) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Western University Of Health Sciences College Of Dental Med (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Paige Pfunder D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Paige Pfunder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sandy, OR 97055
- Reassigned Medicare billing, Oregon enrollment
- 1,248 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Mount Hood Medical Center
Acute Care Hospitals · Gresham, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Paige Pfunder's NPI number?
The NPI number for Paige Pfunder is 1730474974. It was assigned to this individual provider in the NPPES registry on June 16, 2011.
Where is Paige Pfunder located?
Paige Pfunder practices at 24800 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 674-1122.
What is Paige Pfunder's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paige Pfunder enrolled in Medicare?
Yes. Paige Pfunder 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 organization bills Medicare for Paige Pfunder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paige Pfunder reassigns Medicare benefits to Legacy Clinics LLC (Sandy, OR). The 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 Paige Pfunder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Paige Pfunder affiliated with any hospitals?
According to CMS data, Paige Pfunder is affiliated with Legacy Mount Hood Medical Center.
When was this NPI record last updated?
The NPPES record for Paige Pfunder was last updated on November 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Paige Pfunder, D.O. · NPI 1730474974
Internal Medicine physician in Gresham, Oregon. Individual provider, active in the CMS NPPES registry since June 16, 2011.
## Identity
- **NPI:** 1730474974 (Entity type: Individual)
- **Enumerated:** June 16, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DO169578 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 24800 SE STARK ST, Gresham, OR 97030-3378
- **Phone:** (503) 674-1122
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Legacy Clinics LLC (NPI 1730472192, Sandy, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western University Of Health Sciences College Of Dental Med, class of 2011
## Record status
- **NPPES last updated:** November 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1730474974) · Data from the CMS NPPES public registry.