HALEY PETERSON HOSTETLER M.D.
NPI 1982022265
Allergy & Immunology in Portland, OR

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-4300(503) 494-4323 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2023, May 1, 2018 (2 updates tracked since 2018).

About Haley Peterson Hostetler M.d. NPPES

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

HALEY PETERSON HOSTETLER M.D. (NPI 1982022265) is an individual allergy & immunology provider in Portland, Oregon, licensed in Oregon (MD211432) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1982022265
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameHALEY PETERSON HOSTETLERCredential: M.D.
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-4300 · Fax (503) 494-4323
Fax(503) 494-4323
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
NPI 1982022265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in OR · MD211432
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD211432 (OR)
Also ListedPediatricsTaxonomy 208000000X · License MD211432 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

Other Identifiers 1

Medicaid1982022265NC

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

Haley Peterson Hostetler 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 ID5193141232
PECOS Enrollment IDI20221218000000
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.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier12 claims48 services$18.41 avg. paid by Medicare
Injection, immune globulin (xembify), 100 mg J1558
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims4,240 services$10.72 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
1 supplier12 claims49 services$2.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Haley Hostetler's NPI number?

The NPI number for Haley Hostetler is 1982022265. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Haley Hostetler located?

Haley Hostetler practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-4300.

What is Haley Hostetler's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Haley Hostetler enrolled in Medicare?

Yes. Haley Hostetler 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 Haley Hostetler accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Haley Hostetler 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 Haley Hostetler affiliated with any hospitals?

According to CMS data, Haley Hostetler is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Haley Hostetler was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.