MICHELE LYNN BABICKY M.D.
NPI 1871742478
Surgery - Surgical Oncology in Portland, OR

Active since September 18, 2008PECOS EnrolledAccepts Medicare Assignment
93.57/100
CMS Quality Rating
5050 NE HOYT ST STE 256, PORTLAND, OR 97213(503) 239-7767(503) 215-6897 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Dec 7, 2023, Nov 10, 2021 and 5 more (8 updates tracked since 2018).

About Michele Lynn Babicky M.d. NPPES

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

MICHELE LYNN BABICKY M.D. (NPI 1871742478) is an individual surgical oncology provider in Portland, Oregon, licensed in Oregon (MD188635) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1871742478
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameMICHELE LYNN BABICKYCredential: M.D.
Location Address5050 NE HOYT ST STE 256Portland, OR 97213-2982
Mailing Address1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508 · (360) 597-1313 · Fax (360) 597-1413
Fax(503) 215-6897
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 18, 2008
Last NPPES UpdateMay 16, 20248 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1871742478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in OR · MD188635
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License MD188635 (OR)
5050 NE HOYT ST STE 256, Portland, OR 97213

Other Identifiers 2

Medicaid2103827WA
Medicaid500747217OR

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

Michele Lynn Babicky 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 ID6406103175
PECOS Enrollment IDI20180726001003, I20240603002428
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 9

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.

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.
42 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services11 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
26 services23 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.
21 services17 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
15 services15 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

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 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
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.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Physician Assistant
5050 NE HOYT ST STE 256
PORTLAND, OR 97213
Internal Medicine (Medical Oncology)
5050 NE HOYT ST STE 256
PORTLAND, OR 97213
Nurse Practitioner (Adult Health)
5050 NE HOYT ST STE 256
PORTLAND, OR 97213
Physician Assistant
5050 NE HOYT ST STE 256
PORTLAND, OR 97213
Internal Medicine (Hematology & Oncology)
5050 NE HOYT ST STE 256
PORTLAND, OR 97213
Internal Medicine (Hematology & Oncology)
5050 NE HOYT ST STE 256
PORTLAND, OR 97213
Surgery
5050 NE HOYT ST STE 256
PORTLAND, OR 97213
Physician Assistant (Medical)
5050 NE HOYT ST STE 256
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 Michele Babicky's NPI number?

The NPI number for Michele Babicky is 1871742478. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Michele Babicky located?

Michele Babicky practices at 5050 NE Hoyt St Ste 256, Portland, OR 97213. The listed phone number is (503) 239-7767.

What is Michele Babicky's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Michele Babicky enrolled in Medicare?

Yes. Michele Babicky 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 Michele Babicky accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Michele Babicky 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 Michele Babicky affiliated with any hospitals?

According to CMS data, Michele Babicky is affiliated with Providence St Vincent Medical Center, Legacy Good Samaritan Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Michele Babicky was last updated on May 16, 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.