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CALLUM HART MACKINTOSH
NPI 1902427776
Physician Assistant - Surgical in Portland, OR

Active since May 02, 2020PECOS EnrolledAccepts Medicare Assignment
5050 NE HOYT ST STE 359, PORTLAND, OR 97213(503) 935-8501 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2023, Nov 10, 2021 (2 updates tracked since 2021).

About Callum Hart Mackintosh NPPES

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

CALLUM HART MACKINTOSH (NPI 1902427776) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA207556) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902427776
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCALLUM HART MACKINTOSH
Location Address5050 NE HOYT ST STE 359Portland, OR 97213-2983
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801
Phone(503) 935-8501
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2021
Enumeration DateMay 2, 2020
Last NPPES UpdateSeptember 29, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1902427776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in OR · PA207556✔ Licensed in WA · PA70030324
5050 NE HOYT ST STE 359, Portland, OR 97213
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19155 SW Barnes Rd Ste 440Portland, OR 97225-6631 · Phone (503) 935-8500
Location 2505 NE 87th Ave Ste 301Vancouver, WA 98664-1965 · Phone (360) 514-1854

Other Identifiers 1

Medicaid500798393OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Callum Hart Mackintosh 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 ID8921405127
PECOS Enrollment IDI20210929003589, I20251013004080
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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

DAVID FERNANDO ANTEZANA MD
Neurological Surgery
5050 NE HOYT ST STE 359
PORTLAND, OR 97213
Multnomah County (503) 935-8501
MICHELLE MARIE WILLIAMS MD
Neurological Surgery
5050 NE HOYT ST STE 359
PORTLAND, OR 97213
Multnomah County (503) 935-8501
SOOHAN BONG
Physician Assistant
5050 NE HOYT ST STE 359
PORTLAND, OR 97213
Multnomah County (503) 935-8501
MEGAN KENNEDY NP
Nurse Practitioner (Acute Care)
5050 NE HOYT ST STE 359
PORTLAND, OR 97213
Multnomah County (503) 935-8501

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 Callum Mackintosh's NPI number?

The NPI number for Callum Mackintosh is 1902427776. It was assigned to this individual provider in the NPPES registry on May 2, 2020.

Where is Callum Mackintosh located?

Callum Mackintosh practices at 5050 NE Hoyt St Ste 359, Portland, OR 97213. The listed phone number is (503) 935-8501.

What is Callum Mackintosh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Callum Mackintosh enrolled in Medicare?

Yes. Callum Mackintosh 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 Callum Mackintosh accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Callum Mackintosh 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 Callum Mackintosh affiliated with any hospitals?

According to CMS data, Callum Mackintosh is affiliated with Providence Portland Medical Center and Peacehealth Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Callum Mackintosh was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.