DR. TARA LYN EAGLE (D.O.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1023213436
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
204 CRITICAL CARE (INTENSIVISTS) in OR
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Provider Addresses for DR. TARA LYN EAGLE (D.O.)
2800 N. VANCOUVER AVE. LEGACY CLINIC EMANUEL
SUITE 230
PORTLAND, OR 97277
Phone: (503) 413-2901
Type: Mailing
Legacy Medical Group - Emanuel, 2800, North Vancouver Avenue, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States
SUITE 230
PORTLAND, OR 972271630
Phone: (503) 413-2901
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111017000529 | I | Critical Care (Intensivists) | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 89 | 50 | $0 |
Insurance plans in this area (ZIP 97277)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| Vascular Surgery, General Surgery | OR | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Internal Medicine | OR |
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