ALISA ROSE AWTRY M.D.
NPI 1801213137
Family Medicine in Newberg, OR

Q: What is Alisa Awtry's NPI number?

The NPI number for Alisa Awtry is 1801213137. It was assigned to this individual provider in the NPPES registry on March 25, 2014. The provider is also known as Alisa Berman MD.

Q: What is Alisa Awtry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Alisa Awtry enrolled in Medicare?

No. Alisa Awtry has opted out of Medicare through December 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Alisa Awtry was last updated on June 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 25, 2014Opted out of Medicare · through Dec 30, 2027

87.76/100

CMS Quality Rating

1000 N PROVIDENCE DR STE 210, NEWBERG, OR 97132(503) 537-5900 Get Directions Write a Review

NPPES record last updated: June 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2023, Mar 7, 2023, Dec 6, 2019 and 1 more (4 updates tracked since 2017).

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About Alisa Rose Awtry M.d. NPPES

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

ALISA ROSE AWTRY M.D. (NPI 1801213137) is an individual family medicine provider in Newberg, Oregon, licensed in Oregon (MD211147) and active in the NPI registry since March 2014. She has opted out of Medicare through December 30, 2027 and remains eligible to order and refer, is affiliated with Providence Newberg Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801213137

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALISA ROSE AWTRYCredential: M.D.

Location Address1000 N PROVIDENCE DR STE 210Newberg, OR 97132-7582

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 537-5900

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2014

Enumeration DateMarch 25, 2014

Last NPPES UpdateJune 18, 20234 updates tracked since enumeration

NPPES CertifiedJune 18, 2023

✔ NPI 1801213137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · MD211147✔ Licensed in CA · A138008

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1000 N PROVIDENCE DR STE 210, Newberg, OR 97132

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Other Names 1

Former Name (1)Alisa Berman Md

Secondary Practice Locations 2

Location 134 Mark West Springs Rd Fl 3Santa Rosa, CA 95403 · Phone (707) 573-5240 · Fax (707) 573-5416

Location 23569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5781 · Phone (707) 583-8800

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alisa Rose Awtry M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 30, 2025 through December 30, 2027.

Opt-Out Effective DateDecember 30, 2025

Opt-Out In Effect ThroughDecember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 5

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.

145 services81 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.

26 services26 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.

24 services24 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.

18 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380037

Location1001 Providence DriveNewberg, OR 97132 · Yamhill County

Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Willamette Valley Medical Center

Acute Care Hospitals · Mcminnville, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380071

Location2700 SE Stratus Ave.Mcminnville, OR 97128 · Yamhill County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97132 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers14 claims28 services$5.18 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 11

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

JEREMY S. SWINDLE MD

Family Medicine