DR. RICHARD SEAN MCNALLY M.D/PH.D.
NPI 1811255250
Plastic Surgery in Portland, OR

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
5050 NE HOYT ST STE 422, PORTLAND, OR 97213(503) 488-2345 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2021, Oct 1, 2018, Sep 18, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Richard Sean Mcnally M.d/ph.d. NPPES

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

DR. RICHARD SEAN MCNALLY M.D/PH.D. (NPI 1811255250) is an individual plastic surgery provider in Portland, Oregon, licensed in Oregon (MD189901) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2012).

NPPES Registry Identity

NPI1811255250
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. RICHARD SEAN MCNALLYCredential: M.D/PH.D.
Location Address5050 NE HOYT ST STE 422Portland, OR 97213
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2012
Enumeration DateApril 23, 2012
Last NPPES UpdateNovember 28, 20234 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1811255250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in OR · MD189901
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5050 NE HOYT ST STE 422, Portland, OR 97213

Other Identifiers 2

Medicaid2106744WA
Medicaid500749305OR

Accepted Insurance

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

Dr. Richard Sean Mcnally M.d/ph.d. 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 ID2769799691
PECOS Enrollment IDI20180911000371
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Richard Mcnally reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
Specialist
541 NE 20TH AVE, SUITE 225
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 338 clinicians in this Medicare group
Clinic/Center
9205 SW BARNES RD, SUITE 20
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

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

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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
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 3

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

Plastic Surgery
5050 NE HOYT ST STE 422
PORTLAND, OR 97213
Physician Assistant
5050 NE HOYT ST STE 422
PORTLAND, OR 97213
Physician Assistant
5050 NE HOYT ST STE 422
PORTLAND, OR 97213

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 Richard Mcnally's NPI number?

The NPI number for Richard Mcnally is 1811255250. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Richard Mcnally located?

Richard Mcnally practices at 5050 NE Hoyt St Ste 422, Portland, OR 97213. The listed phone number is (503) 488-2345.

What is Richard Mcnally's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Richard Mcnally enrolled in Medicare?

Yes. Richard Mcnally 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 organizations bill Medicare for Richard Mcnally's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Mcnally reassigns Medicare benefits to 3 organizations: Providence Health & Services - Oregon (Portland, OR), The Oregon Clinic PC (Portland, OR) and Providence Health & Services - Oregon (Portland, OR). Each 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 Richard Mcnally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Mcnally accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Richard Mcnally 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 Richard Mcnally affiliated with any hospitals?

According to CMS data, Richard Mcnally is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Mcnally was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.