PETER D O'HANLEY MD
NPI 1912933557
Internal Medicine in Portland, OR

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
4805 NE GLISAN ST, SUITE BG05, PORTLAND, OR 97213(503) 215-2392(503) 215-6918 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1912933557
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePETER D O'HANLEYCredential: MD
Location Address4805 NE GLISAN ST, SUITE BG05Portland, OR 97213-2933
Mailing AddressPo Box 3178Portland, OR 97208-3178 · (503) 215-6494 · Fax (503) 215-6644
Fax(503) 215-6918
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1979
Enumeration DateJune 24, 2006
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
NPI 1912933557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · MD12380
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License MD12380 (OR)
4805 NE GLISAN ST, Portland, OR 97213

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

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.

PECOS PAC ID2264336569
PECOS Enrollment IDI20031119000837
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.

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, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington 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 20

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

Internal Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse's Aide
4805 NE GLISAN ST
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.

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 15 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.