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JEFFREY J HORACEK MD
NPI 1790721215
Internal Medicine in Portland, OR

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
94.9/100
CMS Quality Rating
5050 NE HOYT ST, #203, PORTLAND, OR 97213(503) 230-9224(503) 230-9201 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey J Horacek Md NPPES

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

JEFFREY J HORACEK MD (NPI 1790721215) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD18532) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Hood River Memorial Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1992).

NPPES Registry Identity

NPI1790721215
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJEFFREY J HORACEKCredential: MD
Location Address5050 NE HOYT ST, #203Portland, OR 97213-2991
Mailing Address5050 Ne Hoyt St, #203Portland, OR 97213-2991 · (503) 230-9224 · Fax (503) 230-9201
Phone(503) 230-9224
Fax(503) 230-9201
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1992
Enumeration DateJune 22, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1790721215 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 · MD18532
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.
5050 NE HOYT ST, Portland, OR 97213
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Other Identifiers 4

Medicaid080114OR
Medicare UPING27763OR
Medicare PINR151838OR
Other110164099OR · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan 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

Jeffrey J Horacek 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 ID4183619539
PECOS Enrollment IDI20040416000220
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 6

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.
317 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services29 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
33 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381318
Location810 12th StreetHood River, OR 97031 · Hood River County
Emergency services Birthing friendly

Skyline Hospital

Critical Access Hospitals · White Salmon, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501315
Location211 Skyline DriveWhite Salmon, WA 98672 · Klickitat County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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.

94.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83
Promoting Interoperability100
Improvement Activities40
Cost100

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier21 claims21 services$19.48 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers20 claims20 services$189.75 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.

MS. MOLLY ANNE BREDENBERG PT
Physical Therapist
5050 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-0424
ALISON MITCHELL MD
Family Medicine
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213
Multnomah County (503) 215-6480
JOHN EDWARD HEFFNER MD
Internal Medicine (Pulmonary Disease)
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
DR. THERESA MARIE MORIKAWA PHARMD, BCACP
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5050 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-6296
JAMES H IMATANI, JR. M.D., PC
Surgery (Surgical Oncology)
5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213
Multnomah County (503) 467-4761
DONALD ANDREW YOUNG III MD
Urology
5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213
Multnomah County (503) 488-2323
SPECIALTY SURGERY PC
Surgery
5050 NE HOYT ST, STE 511
PORTLAND, OR 97213
Multnomah County (503) 232-0942
GRETCHEN E VANDERBEEK MD
Internal Medicine
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600

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 Jeffrey Horacek's NPI number?

The NPI number for Jeffrey Horacek is 1790721215. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Jeffrey Horacek located?

Jeffrey Horacek practices at 5050 NE Hoyt St #203, Portland, OR 97213. The listed phone number is (503) 230-9224.

What is Jeffrey Horacek's specialty?

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

Is Jeffrey Horacek enrolled in Medicare?

Yes. Jeffrey Horacek 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 Jeffrey Horacek accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jeffrey Horacek 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 Jeffrey Horacek affiliated with any hospitals?

According to CMS data, Jeffrey Horacek is affiliated with Providence Hood River Memorial Hospital and Skyline Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Horacek was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.