Dr Mark Alan Gibson, MD - Medicare Diagnostic Radiology in Portland, OR

Dr Mark Alan Gibson, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Portland, Oregon. He went to Indiana University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Providence Health And Services Oregon, Radiology Specialists Of The Northwest Pc and his current practice location is 545 Ne 47th Ave Ste 215, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 731-2900.

Dr Mark Alan Gibson is licensed to practice in Oregon (license number MD28156) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710122106.

Contact Information

Dr Mark Alan Gibson, MD
545 Ne 47th Ave Ste 215,
Portland, OR 97213-2237
(503) 731-2900
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark Alan Gibson
GenderMale
SpecialityDiagnostic Radiology
Experience21 Years
Location545 Ne 47th Ave Ste 215, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Alan Gibson attended and graduated from Indiana University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1710122106
  • Provider Enumeration Date: 12/13/2008
  • Last Update Date: 05/12/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0648324194
  • Enrollment ID: I20090818000338

Medical Identifiers

Medical identifiers for Dr Mark Alan Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710122106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology MD28156 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Portland Medical CenterPortland, ORHospital
Providence Willamette Falls Medical CenterOregon city, ORHospital
Providence Milwaukie HospitalMilwaukie, ORHospital
Providence St Vincent Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344
Radiology Specialists Of The Northwest Pc620482996326

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Alan Gibson allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameRadiology Specialists Of The Northwest Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699759498
PECOS PAC ID: 6204829963
Enrollment ID: O20040407000754

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Alan Gibson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Alan Gibson, MD
545 Ne 47th Ave Ste 215,
Portland, OR 97213-2237

Ph: (503) 731-2900
Dr Mark Alan Gibson, MD
545 Ne 47th Ave Ste 215,
Portland, OR 97213-2237

Ph: (503) 731-2900

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.