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JUSTIN BRENT RUFENER M.D.
NPI 1912117805
Otolaryngology in Portland, OR

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
5050 NE HOYT ST, SUITE 655, PORTLAND, OR 97213(503) 488-2400(503) 231-0121 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, Dec 5, 2023, Nov 11, 2021 (3 updates tracked since 2021).

About Justin Brent Rufener M.d. NPPES

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

JUSTIN BRENT RUFENER M.D. (NPI 1912117805) is an individual otolaryngology provider in Portland, Oregon, licensed in Oregon (MD28034) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2003).

NPPES Registry Identity

NPI1912117805
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJUSTIN BRENT RUFENERCredential: M.D.
Location Address5050 NE HOYT ST, SUITE 655Portland, OR 97213-2991
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 488-2400
Fax(503) 231-0121
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2003
Enumeration DateMay 22, 2007
Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1912117805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OR · MD28034✔ Licensed in WA · MD60390275
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5050 NE HOYT ST, Portland, OR 97213
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Other Identifiers 2

Medicaid8507592WA
Medicaid213831OR

Accepted Insurance

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

Justin Brent Rufener 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 ID2466524392
PECOS Enrollment IDI20080709000324
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 6

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 low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 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.
33 services30 patients
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.
31 services31 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.
31 services28 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
18 services18 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

Other Providers at the Same Location NPPES 20

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

MS. MOLLY ANNE BREDENBERG PT
Physical Therapist
5050 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-0424
ALISON MITCHELL MD
Family Medicine
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213
Multnomah County (503) 215-6480
JOHN EDWARD HEFFNER MD
Internal Medicine (Pulmonary Disease)
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
DR. THERESA MARIE MORIKAWA PHARMD, BCACP
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5050 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-6296
JAMES H IMATANI, JR. M.D., PC
Surgery (Surgical Oncology)
5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213
Multnomah County (503) 467-4761
DONALD ANDREW YOUNG III MD
Urology
5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213
Multnomah County (503) 488-2323
SPECIALTY SURGERY PC
Surgery
5050 NE HOYT ST, STE 511
PORTLAND, OR 97213
Multnomah County (503) 232-0942
GRETCHEN E VANDERBEEK MD
Internal Medicine
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600

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 Justin Rufener's NPI number?

The NPI number for Justin Rufener is 1912117805. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Justin Rufener located?

Justin Rufener practices at 5050 NE Hoyt St Suite 655, Portland, OR 97213. The listed phone number is (503) 488-2400.

What is Justin Rufener's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Justin Rufener enrolled in Medicare?

Yes. Justin Rufener 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 Justin Rufener accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Justin Rufener 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 Justin Rufener affiliated with any hospitals?

According to CMS data, Justin Rufener is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Rufener was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.