Active NPI
Jeffrey J Horacek, MD
- Internal Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD18532
- Practice address
- 5050 NE Hoyt St
#203
Portland, OR 97213-2991 - Phone
- (503) 230-9224
- Fax
- (503) 230-9201
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD18532 | OR | Primary |
Addresses
Primary practice location
5050 NE Hoyt St
#203
Portland, OR 97213-2991
Mailing address
5050 NE Hoyt St
#203
Portland, OR 97213-2991
Phone (503) 230-9224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080114 | Medicaid | OR | |
| 110164099 | Other | OR | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 12TH St
Suite B
Hood River, OR 97031-9540
Phone (541) 716-5786
Hospital & facility affiliations
- Providence Hood River Memorial Hospital
- Skyline Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 83.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18532 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Healthy Connections Hood River LLC | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Internal Medicine of Oregon, LLC | Internal Medicine | Past | Accepting new patients |
| NW Internal Medicine | Past | Accepting new patients |
Locations
1700 12th St
Ste B
Hood River, OR 97031
Phone (541) 386-1006
33 Nichols Pkwy
Ste 300
Hood River, OR 97031
Phone (541) 716-5786
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
Interoperability endpoints
- jeffrey.horacek@79034615332868.direct.elationemr.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Hood River, OR
- NPI 1306303979
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
Internal Medicine
-
- Rural Health Clinic/Center
- Hood River, OR
- NPI 1073100095
-
- Internal Medicine Physician
- Portland, OR
- NPI 1538355417
-
- Health Service Clinic/Center
- Portland, OR
- NPI 1174917603
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1790721215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST",
"address_2": "#203",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132991",
"telephone_number": "503-230-9224",
"fax_number": "503-230-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST",
"address_2": "#203",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132991",
"telephone_number": "503-230-9224",
"fax_number": "503-230-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORACEK",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD18532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080114",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110164099",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.