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DR. JOHN DENKER M.D.
NPI 1942201546
Family Medicine - Adult Medicine in Portland, OR

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
5622 SE 41ST AVE, PORTLAND, OR 97202(503) 774-6929(503) 774-6924 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Denker M.d. NPPES

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

DR. JOHN DENKER M.D. (NPI 1942201546) is an individual adult medicine provider in Portland, Oregon, licensed in Oregon (MD 12668) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1980).

NPPES Registry Identity

NPI1942201546
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. JOHN DENKERCredential: M.D.
Location Address5622 SE 41ST AVEPortland, OR 97202-7516
Mailing Address5622 Se 41st AvePortland, OR 97202-7516 · (503) 774-6929 · Fax (503) 774-6924
Phone(503) 774-6929
Fax(503) 774-6924
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1980
Enumeration DateAugust 3, 2005
Last NPPES UpdateOctober 16, 2007
✔ NPI 1942201546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in OR · MD 12668
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License MD 12668 (OR)
5622 SE 41ST AVE, Portland, OR 97202
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Other Names 1

Other Name (5)John Thomas Denker M.d.

Other Identifiers 5

Medicare ID-Type Unspecified010022870OR · Palmetto Gba- Railroad
Medicaid228700OR
Medicare UPINC91164OR
Other930862374Tricare
Medicare ID-Type UnspecifiedR0000BHPRBOR · Oregon Nordian Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.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

Dr. John Denker 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 ID941334304
PECOS Enrollment IDI20100820000213
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 7

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.

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
137 services128 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
64 services44 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
34 services30 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
33 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
32 services17 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97202 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
31%51 patients2/55-star benchmark: 93%
Cervical Cancer Screening
8%157 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
30%184 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
25%136 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
56%55 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
6%34 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
41%34 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%636 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
14%37 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%332 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
15%309 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%507 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 24% · 248 patients
18%248 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%48 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier23 claims23 services$33.31 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims22 services$2.98 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$12.64 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier17 claims17 services$6.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Denker's NPI number?

The NPI number for John Denker is 1942201546. It was assigned to this individual provider in the NPPES registry on August 3, 2005. The provider is also known as John Thomas Denker M.D..

Where is John Denker located?

John Denker practices at 5622 SE 41st Ave, Portland, OR 97202. The listed phone number is (503) 774-6929.

What is John Denker's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is John Denker enrolled in Medicare?

Yes. John Denker 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 John Denker accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list John Denker 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.

When was this NPI record last updated?

The NPPES record for John Denker was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.