Matthew Clay Upshaw, DO - Medicare Family Practice in Gresham, OR

Matthew Clay Upshaw, DO is a medicare enrolled "Family Medicine" physician in Gresham, Oregon. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Roberts Street Clinic, P.c. and his current practice location is 400 Ne Roberts Ave, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 665-9144.

Matthew Clay Upshaw is licensed to practice in Oregon (license number DO21884) 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 1407842487.

Contact Information

Matthew Clay Upshaw, DO
400 Ne Roberts Ave,
Gresham, OR 97030-7464
(503) 665-9144
(503) 665-6404

Map and Direction




Physician's Profile

Full NameMatthew Clay Upshaw
GenderMale
SpecialityFamily Practice
Experience26 Years
Location400 Ne Roberts Ave, Gresham, 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:
  • Matthew Clay Upshaw attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1998
  NPI Data:
  • NPI Number: 1407842487
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 02/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709937220
  • Enrollment ID: I20110106000625

Medical Identifiers

Medical identifiers for Matthew Clay Upshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407842487NPI-NPPES
287698MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO21884 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Mount Hood Medical CenterGresham, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Roberts Street Clinic, P.c.59917874263

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. Matthew Clay Upshaw allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799
Entity NameRoberts Street Clinic, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003024423
PECOS PAC ID: 5991787426
Enrollment ID: O20040607000983

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. Matthew Clay Upshaw 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
Matthew Clay Upshaw, DO
400 Ne Roberts Ave,
Gresham, OR 97030-7464

Ph: (503) 665-9144
Matthew Clay Upshaw, DO
400 Ne Roberts Ave,
Gresham, OR 97030-7464

Ph: (503) 665-9144

Reviews and Comments


Family Medicine Doctors in Gresham, OR

Dr. Paul E Vanbredavriesman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 18000 Se Stark Street, Gresham, OR 97233
Phone: 503-255-4243    Fax: 503-255-4243
Dr. Joseph Mark Eisenberg, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 Ne 8th St, 3rd Floor, East County Health Center, Gresham, OR 97030
Phone: 503-988-5155    Fax: 503-988-5185
Gordon Paul Canzler, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 Ne Roberts Ave, Gresham, OR 97030
Phone: 503-665-9144    Fax: 503-665-6404
Caroline Chase Adams, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 440 Nw Division St, Gresham, OR 97030
Phone: 503-215-9525    
Paul Podett, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24900 Se Stark St Ste 205, Gresham, OR 97030
Phone: 503-665-1010    Fax: 503-665-1023
Svetlana Taycher, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 831 Nw Council Dr, Suite 125, Gresham, OR 97030
Phone: 503-661-3439    Fax: 503-669-1360
Lam L Le, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 25500 Se Stark St Ste 102, Gresham, OR 97030
Phone: 503-492-1327    

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.