DR. JENNIFER PURDY MAYBERRY MD NPI 1467565671

NPI Information

  • NPI: 1467565671
  • Provider Name: DR. JENNIFER PURDY MAYBERRY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 233 NE 102ND AVE
    PORTLAND, OR
    ZIP 97220
  • Phone: (503) 253-1105

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NPI Details

DR. Jennifer Purdy Mayberry, MD is a diagnostic radiology radiology in Portland, OR with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jennifer Purdy Mayberry, MD NPI is 1467565671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

233 NE 102ND AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 253-1105
Fax: (503) 535-8398

The NPI 1467565671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening mammography (HCPCS:77067)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Dxa bone density measurement of forearm, finger, hand, or foot (HCPCS:77081)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Mri scan of both breasts (HCPCS:77049)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of chest with contrast (HCPCS:71260)

The enumeration date for this NPI number is 8/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD24376OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H86562MEDICARE UPIN
2116179MEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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