1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Internal Medicine
  6. NPI Profile

MARY PORTERA
NPI 1861072514
Internal Medicine in New York, NY

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
630 W 168TH ST PH 8, NEW YORK, NY 10032(212) 305-5960 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2024, Apr 8, 2021 (2 updates tracked since 2021).

About Mary Portera NPPES

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

MARY PORTERA (NPI 1861072514) is an individual internal medicine provider in New York, New York, licensed in Colorado (DR0072962) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2021).

NPPES Registry Identity

NPI1861072514
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY PORTERA
Location Address630 W 168TH ST PH 8New York, NY 10032-3725
Mailing Address8697 Classic CirMemphis, TN 38125-8829 · (901) 305-4022
Phone(212) 305-5960
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateJune 29, 20242 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1861072514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · DR0072962
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.
630 W 168TH ST PH 8, New York, NY 10032
Open in Google Maps ↗

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

Mary Portera 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 ID840737235
PECOS Enrollment IDI20240802001694
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 Reassignment

Medicare enrollment records show Mary Portera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Hospital Based Physicians Colorado LLC
1,530 mi
Multi-Specialty
615 FAIRHURST ST
Sterling, CO 80751
  • Reassigned Medicare billing, Colorado enrollment
  • 163 clinicians in this Medicare group
NPI 1447598479 (970) 526-5555

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 3

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services23 patients
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.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

PRANAV PARIKH MD
Student in an Organized Health Care Education/Training Program
630 W 168TH ST PH 8
NEW YORK, NY 10032
New York County (212) 305-5960
STRATTON TOLMIE
Student in an Organized Health Care Education/Training Program
630 W 168TH ST PH 8
NEW YORK, NY 10032
New York County (212) 305-5960

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 Mary Portera's NPI number?

The NPI number for Mary Portera is 1861072514. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Mary Portera located?

Mary Portera practices at 630 W 168th St Ph 8, New York, NY 10032. The listed phone number is (212) 305-5960.

What is Mary Portera's specialty?

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

Is Mary Portera enrolled in Medicare?

Yes. Mary Portera 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 organization bills Medicare for Mary Portera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Portera reassigns Medicare benefits to Banner Hospital Based Physicians Colorado LLC (Sterling, CO). The 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 Mary Portera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Portera was last updated on June 29, 2024. 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.