AMY L MULCASTER (DO) – Gynecology Physician, NPI 1063439644

AMY L MULCASTER (DO) is a healthcare provider. based in Portland, Oregon. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. DO28581 (OR). The NPI Number for AMY L MULCASTER (DO) is 1063439644

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
AMY L MULCASTER (DO)
NPI
1063439644
Phone
(503) 221-0161
Address
800 SW 13TH AVE
Enumeration Date
17 July 2006
Last Update Date
17 November 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5036460161
Graduation Year
2000 (26 years ago)
PAC ID
8022087485
Group Practice PAC ID
8224942867
Professional Enrollment ID
I20081002000423
Address ID
OR970035170BE15950WAYX400

Contacts

Secure Messaging
amulcaster1729@direct.theportlandclinic.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

632 OBSTETRICS/GYNECOLOGY in OR

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Provider Addresses for AMY L MULCASTER (DO)

  • The Portland Clinic, 800, Southwest 13th Avenue, Portland Downtown, Portland, Metro, Multnomah County, Oregon, 97205, United States

    PORTLAND, OR 972051902

    Phone: (503) 221-0161

    Fax: (503) 274-1697

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-10-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081002000423IObstetrics/GynecologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine5252$0
90662Influenza vaccine split virus, preservative free4545$0
90480Admn sarscov2 vacc 1 dose1313$0
91322Sarscov2 vac 50 mcg/0.5ml im1313$0
View full utilization report →

Insurance plans in this area (ZIP 97205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224942867View full group profile
NameSpecialtyState
Family PracticeOR
-OR
Sports MedicineOR
-OR
Physician AssistantOR
Physician AssistantOR
Nurse PractitionerOR
O P T O M E T R YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
-OR

Reviews

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Frequently asked questions

Is AMY L MULCASTER (DO) listed with a National Provider Identifier?
Yes — AMY L MULCASTER (DO) has NPI 1063439644 on file in the registry.
Is AMY L MULCASTER (DO) still an active registrant?
AMY L MULCASTER (DO) carries an active NPI according to the public dataset.
How would a patient describe AMY L MULCASTER (DO)'s focus?
For AMY L MULCASTER (DO), the primary taxonomy reads as Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with AMY L MULCASTER (DO)?
Directory geography for AMY L MULCASTER (DO) centers on Portland, Oregon.
Can I trust this NPI listing for AMY L MULCASTER (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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