MAXINE BAUER (M.D.) – Obstetrics & Gynecology Physician, NPI 1497749345

MAXINE BAUER (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD20753 (OR). The NPI Number for MAXINE BAUER (M.D.) is 1497749345

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MAXINE BAUER (M.D.)
NPI
1497749345
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
7 September 2005
Last Update Date
5 February 2021

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
6709968829
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20120319000421

Contacts

Secure Messaging
mbauer245986@oc.providencedirect.org
Secure Messaging
jbauer549191@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

632 OBSTETRICS/GYNECOLOGY in OR

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Provider Addresses for MAXINE BAUER (M.D.)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 395

    PORTLAND, OR 972256652

    Phone: (503) 216-2602

    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.

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: 2012-03-19

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
I20120319000421IObstetrics/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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

What federal number belongs to MAXINE BAUER (M.D.)?
The federal identifier for MAXINE BAUER (M.D.) is NPI 1497749345.
Is MAXINE BAUER (M.D.) active in the national directory?
MAXINE BAUER (M.D.)'s public NPI profile is in an active state.
Can you summarize MAXINE BAUER (M.D.)'s specialty in plain language?
Clinically, the directory lists MAXINE BAUER (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does MAXINE BAUER (M.D.) practice in Oregon?
You will see Portland, Oregon on file for MAXINE BAUER (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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