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DR. AUDREY ELLEN TARR MD
NPI 1922110972
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Portland, OR

Active since August 31, 2006PECOS Enrolled
1040 NW 22ND AVE, SUITE 600, PORTLAND, OR 97210(503) 413-5787(503) 413-5788 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2019, Jan 9, 2019 (2 updates tracked since 2019).

About Dr. Audrey Ellen Tarr Md NPPES

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

DR. AUDREY ELLEN TARR MD (NPI 1922110972) is an individual urogynecology and reconstructive pelvic surgery provider in Portland, Oregon, licensed in Oregon (MD23494) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922110972
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameDR. AUDREY ELLEN TARRCredential: MD
Location Address1040 NW 22ND AVE, SUITE 600Portland, OR 97210-3041
Mailing Address1040 Nw 22nd Ave, Suite 600Portland, OR 97210-3041 · (503) 413-5787 · Fax (503) 413-5788
Phone(503) 413-5787
Fax(503) 413-5788
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration
✔ NPI 1922110972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Licenses✔ Licensed in OR · MD23494✔ Licensed in WA · MD00040629
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License MD23494 (OR)
1040 NW 22ND AVE, SUITE 600, Portland, OR 97210
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Other Names 1

Former Name (1)Audrey Ellen Wright

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Audrey Ellen Tarr Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Audrey Tarr reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Clinics LLC
Same address
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
Kaiser Foundation Health Plan Of The Northwest
0.7 mi
General Practice
1035 NW NORTHRUP ST
Portland, OR 97209
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1184786527 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1649722034 (800) 813-2000
Legacy Salmon Creek Hospital
13 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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.

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 Audrey Tarr's NPI number?

The NPI number for Audrey Tarr is 1922110972. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Audrey Ellen Wright.

Where is Audrey Tarr located?

Audrey Tarr practices at 1040 NW 22nd Ave, Suite 600, Portland, OR 97210. The listed phone number is (503) 413-5787.

What is Audrey Tarr's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Audrey Tarr enrolled in Medicare?

Yes. Audrey Tarr is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Audrey Tarr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Tarr reassigns Medicare benefits to 3 organizations: Legacy Clinics LLC (Portland, OR), Kaiser Foundation Health Plan Of The Northwest (Portland, OR) and Legacy Salmon Creek Hospital (Vancouver, WA). 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 Audrey Tarr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Audrey Tarr was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.