PETER D O'HANLEY MD
NPI 1912933557
Internal Medicine in Portland, OR
About Peter D O'hanley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER D O'HANLEY MD (NPI 1912933557) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD12380) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1979).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Peter D O'hanley 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.
Medicare Billing Reassignments
5Medicare enrollment records show Peter O'hanley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97219
- Reassigned Medicare billing, Oregon enrollment
- 54 clinicians in this Medicare group
Oregon City, OR 97045
- Reassigned Medicare billing, Oregon enrollment
- 98 clinicians in this Medicare group
Hermiston, OR 97838
- Reassigned Medicare billing, Oregon enrollment
- 344 clinicians in this Medicare group
Johnstown, CO 80534
- Reassigned Medicare billing, Oregon enrollment
- 57 clinicians in this Medicare group
Peachtree City, GA 30269
- Reassigned Medicare billing, Oregon enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
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, ORPhysician 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.
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.
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 Peter O'hanley's NPI number?
The NPI number for Peter O'hanley is 1912933557. It was assigned to this individual provider in the NPPES registry on June 24, 2006.
Where is Peter O'hanley located?
Peter O'hanley practices at 4805 NE Glisan St Suite Bg05, Portland, OR 97213. The listed phone number is (503) 215-2392.
What is Peter O'hanley's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Peter O'hanley enrolled in Medicare?
Yes. Peter O'hanley 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 Peter O'hanley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter O'hanley reassigns Medicare benefits to 5 organizations: Fanno Creek Clinic LLC (Portland, OR), South Sound Inpatient Physicians PLLC (Oregon City, OR), Good Shepherd Health Care System (Hermiston, OR), Vibra Physicians LLC (Johnstown, CO) and Impact Physician Group, LLC (Peachtree City, GA). 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 Peter O'hanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter O'hanley accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Peter O'hanley 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 Peter O'hanley affiliated with any hospitals?
According to CMS data, Peter O'hanley is affiliated with Providence St Vincent Medical Center.
When was this NPI record last updated?
The NPPES record for Peter O'hanley was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Peter D O'hanley, MD · NPI 1912933557
Internal Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 24, 2006.
## Identity
- **NPI:** 1912933557 (Entity type: Individual)
- **Enumerated:** June 24, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD12380 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4805 NE GLISAN ST, SUITE BG05, Portland, OR 97213-2933
- **Phone:** (503) 215-2392 · **Fax:** (503) 215-6918
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fanno Creek Clinic LLC (NPI 1609876705, Portland, OR); South Sound Inpatient Physicians PLLC (NPI 1053578237, Oregon City, OR); Good Shepherd Health Care System (NPI 1336198159, Hermiston, OR); Vibra Physicians LLC (NPI 1659705424, Johnstown, CO); Impact Physician Group, LLC (NPI 1114428612, Peachtree City, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 1979
## Record status
- **NPPES last updated:** April 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912933557) · Data from the CMS NPPES public registry.