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CHARLES M WOOD MD
NPI 1902961907
Internal Medicine in Portland, OR

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
4212 NE BROADWAY ST, PORTLAND, OR 97213(503) 249-8787(503) 284-5168 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles M Wood Md NPPES

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

CHARLES M WOOD MD (NPI 1902961907) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD13265) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1981).

NPPES Registry Identity

NPI1902961907
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES M WOODCredential: MD
Location Address4212 NE BROADWAY STPortland, OR 97213-1422
Mailing Address4212 Ne Broadway StPortland, OR 97213-1422 · (503) 249-8787 · Fax (503) 284-5168
Phone(503) 249-8787
Fax(503) 284-5168
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1981
Enumeration DateDecember 27, 2006
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1902961907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OR · MD13265✔ Licensed in WA · MD00034537
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.
4212 NE BROADWAY ST, Portland, OR 97213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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

Charles M Wood Md 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 ID244333607
PECOS Enrollment IDI20071210000253
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 Reassignments

7

Medicare enrollment records show Charles Wood reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Broadway Medical Clinic LLP
Same address
Primary Care
4212 NE BROADWAY
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 20 clinicians in this Medicare group
NPI 1720082316 (503) 249-8787
Legacy Emanuel Hospital & Health Center
2.2 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000
Legacy Clinics LLC
3.7 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901
Legacy Good Samaritan Hospital And Medical Center
3.8 mi
General Acute Care Hospital
1015 NW 22ND AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
NPI 1780608216 (503) 413-7711
Legacy Mount Hood Medical Center
10 mi
Clinic/Center
24800 SE STARK ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon enrollment
  • 132 clinicians in this Medicare group
NPI 1386919132 (503) 413-5089
Legacy Meridian Park Hospital
12 mi
Hospitalist
19300 SW 65TH AVE
Tualatin, OR 97062
  • Reassigned Medicare billing, Oregon enrollment
  • 218 clinicians in this Medicare group
NPI 1023305034 (503) 692-1212
Silverton Health
27 mi
Clinic/Center
861 W MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 568 clinicians in this Medicare group
NPI 1861116055 (503) 874-5653

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 2

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.

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.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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 14

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

LUIS A VALLS MD
Internal Medicine
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
MARY BAKER MD
Pediatrics
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
SUSAN FRANCES CALVERT R.PH.
Pharmacist
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 282-1323
MR. JAMES C JOHNSON MD
Internal Medicine
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
KRISTAN C COLLINS MD
Pediatrics
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
DR. PATRICIA SANDSTROM BURKE M.D.
Pediatrics
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
MRS. ANNE M HIRSCH MD
Internal Medicine
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
LAUREL L SIMON MD
Internal Medicine
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787

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 Charles Wood's NPI number?

The NPI number for Charles Wood is 1902961907. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Charles Wood located?

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

What is Charles Wood's specialty?

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

Is Charles Wood enrolled in Medicare?

Yes. Charles Wood 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 organizations bill Medicare for Charles Wood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Wood reassigns Medicare benefits to 7 organizations: Broadway Medical Clinic LLP (Portland, OR), Legacy Emanuel Hospital & Health Center (Portland, OR), Legacy Clinics LLC (Portland, OR), Legacy Good Samaritan Hospital And Medical Center (Portland, OR), Legacy Mount Hood Medical Center (Gresham, OR) and 2 more organizations, listed in the Medicare section above. Each 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 Charles Wood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Wood accept?

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

According to CMS data, Charles Wood is affiliated with Legacy Emanuel Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Wood was last updated on March 25, 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.