DIANNE C EARDLEY MD
NPI 1740210434
Internal Medicine in Portland, OR

Active since July 05, 2006PECOS Enrolled
417 SW 117TH AVE, 2ND FLOOR, PORTLAND, OR 97225(503) 216-9400(503) 216-9499 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dianne C Eardley Md NPPES

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

DIANNE C EARDLEY MD (NPI 1740210434) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD18802) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1740210434
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDIANNE C EARDLEYCredential: MD
Location Address417 SW 117TH AVE, 2ND FLOORPortland, OR 97225-5924
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Fax(503) 216-9499
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
NPI 1740210434 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 · MD18802
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.

417 SW 117TH AVE, Portland, OR 97225

Other Identifiers 2

Other110084688OR · Rr Medicare
Medicaid065748OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dianne C Eardley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951438191
PECOS Enrollment IDI20100420001044
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.

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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims17 services$6.59 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 19

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

Physician Assistant
417 SW 117TH AVE, SUITE 200
PORTLAND, OR 97225
Dermatology
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Dermatology
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Internal Medicine
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Clinic/Center (Medical Specialty)
417 SW 117TH AVE, STE. 120
PORTLAND, OR 97225
Dermatology
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Internal Medicine
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Physician Assistant
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225

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 Dianne Eardley's NPI number?

The NPI number for Dianne Eardley is 1740210434. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Dianne Eardley located?

Dianne Eardley practices at 417 SW 117th Ave 2nd Floor, Portland, OR 97225. The listed phone number is (503) 216-9400.

What is Dianne Eardley's specialty?

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

Is Dianne Eardley enrolled in Medicare?

Yes. Dianne Eardley is registered in the Medicare PECOS enrollment system.

Is Dianne Eardley affiliated with any hospitals?

According to CMS data, Dianne Eardley is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Dianne Eardley was last updated on March 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.