DR. BETH RACHEL GABBARD (O.D.) – Optometrist, NPI 1518902089

DR. BETH RACHEL GABBARD (O.D.) is a healthcare provider. based in Portland, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-009692 (IL). The NPI Number for DR. BETH RACHEL GABBARD (O.D.) is 1518902089

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BETH RACHEL GABBARD (O.D.)
NPI
1518902089
Phone
(800) 813-2000
Address
19500 SE STARK ST
Enumeration Date
18 June 2006
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5037833300
Graduation Year
2004 (22 years ago)
PAC ID
7810996154
Group Practice PAC ID
9234039926
Professional Enrollment ID
I20150219001757
Address ID
OR970155735CL12817AVEX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness95
Years active:19State licenses:4Other names

672 OPTOMETRY in OR

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Provider Addresses for DR. BETH RACHEL GABBARD (O.D.)

  • Southeast Stark Street, Russellville, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97216, United States

    PORTLAND, OR 972335757

    Phone: (800) 813-2000

    Type: Mailing

  • PO BOX 22009

    PORTLAND, OR 97269

    Phone: (503) 558-7372

    Fax: (503) 344-5140

    Type: Mailing

  • 12817 SE 93RD AVE

    CLACKAMAS, OR 970155735

    Phone: (503) 783-3300

    Fax: (503) 783-3319

    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: 2020-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150219001757IOptometryORTBD
I20200409002650IOptometryWATBD

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 97233)

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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: 9234039926View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
O P T O M E T R YOR
O P T O M E T R YOR
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YCA
-OR
O P H T H A L M O L O G YOR
-OR
O P H T H A L M O L O G YOR

Reviews

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Frequently asked questions

How is DR. BETH RACHEL GABBARD (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BETH RACHEL GABBARD (O.D.) with NPI 1518902089.
Can I rely on DR. BETH RACHEL GABBARD (O.D.) being an active provider?
As of the registry snapshot, DR. BETH RACHEL GABBARD (O.D.) is marked active.
What is DR. BETH RACHEL GABBARD (O.D.)'s specialty?
The listing groups DR. BETH RACHEL GABBARD (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. BETH RACHEL GABBARD (O.D.)?
DR. BETH RACHEL GABBARD (O.D.)'s geographic hint is Portland, Oregon in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.