TIMOTHY W. MANSOUR M.D.
NPI 1851786727
Surgery in Portland, OR

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
81.01/100
CMS Quality Rating
4805 NE GLISAN ST STE 6N60, PORTLAND, OR 97213(503) 935-8379(503) 935-8940 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2025, Jul 28, 2021 (2 updates tracked since 2021).

About Timothy W. Mansour M.d. NPPES

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

TIMOTHY W. MANSOUR M.D. (NPI 1851786727) is an individual surgery provider in Portland, Oregon, licensed in Oregon (MD225603) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851786727
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTIMOTHY W. MANSOURCredential: M.D.
Location Address4805 NE GLISAN ST STE 6N60Portland, OR 97213-2933
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Fax(503) 935-8940
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1851786727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in OR · MD225603 Licensed in AL · 35715
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4805 NE GLISAN ST STE 6N60, Portland, OR 97213

Secondary Practice Locations 2

Location 19155 SW Barnes Rd Ste 735Portland, OR 97225-6634 · Phone (503) 935-8379 · Fax (503) 935-8940
Location 24805 NE Glisan St Ste 6N40Portland, OR 97213-2933 · Phone (503) 215-7230 · Fax (503) 215-6240

Other Identifiers 1

Medicaid500861299OR

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

Timothy W. Mansour 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 ID6406152255
PECOS Enrollment IDI20210818003412, I20250905002304
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
101 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
50 services33 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.
29 services29 patients
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.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas 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

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.

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.

81.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.43
Improvement Activities40
Cost59.44

Other Providers at the Same Location NPPES 12

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

Transplant Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Physician Assistant (Medical)
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Colon & Rectal Surgery
4805 NE GLISAN ST STE 6N60
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 Timothy Mansour's NPI number?

The NPI number for Timothy Mansour is 1851786727. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Timothy Mansour located?

Timothy Mansour practices at 4805 NE Glisan St Ste 6n60, Portland, OR 97213. The listed phone number is (503) 935-8379.

What is Timothy Mansour's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Timothy Mansour enrolled in Medicare?

Yes. Timothy Mansour 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 Timothy Mansour accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Timothy Mansour 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 Timothy Mansour affiliated with any hospitals?

According to CMS data, Timothy Mansour is affiliated with Legacy Good Samaritan Medical Center, Providence Willamette Falls Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Mansour was last updated on October 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.