Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL MAZZOTTA M.D.
NPI 1841427572
Pediatrics in Portland, OR

Active since June 21, 2009PECOS Enrolled
4212 NE BROADWAY, PORTLAND, OR 97213(503) 249-8787(503) 382-7706 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 25, 2026, Feb 1, 2022, Feb 13, 2020 and 1 more (4 updates tracked since 2016).

About Michael Mazzotta M.d. NPPES

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

MICHAEL MAZZOTTA M.D. (NPI 1841427572) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD173217) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2009).

NPPES Registry Identity

NPI1841427572
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL MAZZOTTACredential: M.D.
Location Address4212 NE BROADWAYPortland, OR 97213-1422
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801
Fax(503) 382-7706
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2009
Enumeration DateJune 21, 2009
Last NPPES UpdateSeptember 25, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1841427572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD173217
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD173217 (OR)
4212 NE BROADWAY, Portland, OR 97213

Accepted 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

Michael Mazzotta M.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 ID3072748185
PECOS Enrollment IDI20170109001556
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.

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
$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.

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.

Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Family Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Pediatrics
4212 NE BROADWAY
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 Michael Mazzotta's NPI number?

The NPI number for Michael Mazzotta is 1841427572. It was assigned to this individual provider in the NPPES registry on June 21, 2009.

Where is Michael Mazzotta located?

Michael Mazzotta practices at 4212 NE Broadway, Portland, OR 97213. The listed phone number is (503) 249-8787.

What is Michael Mazzotta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Mazzotta enrolled in Medicare?

Yes. Michael Mazzotta 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 Michael Mazzotta accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Michael Mazzotta 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.

When was this NPI record last updated?

The NPPES record for Michael Mazzotta was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.