FAWN MELANIE WOLF (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1689636557

FAWN MELANIE WOLF (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in INTERNAL MEDICINE, ENDOCRINOLOGY. They hold the professional credentials M.D.. They hold a License No. MD25195 (OR). The NPI Number for FAWN MELANIE WOLF (M.D.) is 1689636557

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
FAWN MELANIE WOLF (M.D.)
NPI
1689636557
Phone
(503) 216-7000
Address
9155 SW BERNES RD.
Enumeration Date
5 April 2006
Last Update Date
25 March 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
4486682028
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20050803000828
Address ID
OR972256603PO9205XRDXX400
Telehealth
Yes

Contacts

Secure Messaging
fwolf102428@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,474 INTERNAL MEDICINE in OR

Provider Addresses for FAWN MELANIE WOLF (M.D.)

  • 9155 SW BERNES RD.

    SUITE 638

    PORTLAND, OR 97225

    Phone: (503) 216-7000

    Fax: (503) 216-6940

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $608.

Total Amount is formed as General ($608) + Research ($0) + Ownership ($0) = $608.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Medtronic, Inc. ($275).

Total Amount

$608

General + Research + Ownership

Payments

7

Total payment records

General Amount

$608

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-08-03

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
I20050803000828IInternal MedicineORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes171108$0
99213Established patient office or other outpatient visit, 20-29 minutes7971$0
83036Hemoglobin a1c level4126$0
99451Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes2828$0
99215Established patient office or other outpatient visit, 40-54 minutes2213$0
View full utilization report →

Insurance plans in this area (ZIP 97225)

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Provider's Procedures

FAWN MELANIE WOLF (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOR83036Hemoglobin A1C level198115

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

Can I verify FAWN MELANIE WOLF (M.D.) with an NPI only?
You can start verification with NPI 1689636557 for FAWN MELANIE WOLF (M.D.), then check state licensing separately.
Does the file indicate FAWN MELANIE WOLF (M.D.) is practicing under active NPI?
Directory data currently reports FAWN MELANIE WOLF (M.D.) as active.
What is FAWN MELANIE WOLF (M.D.)'s specialty?
The listing groups FAWN MELANIE WOLF (M.D.) with Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What area does FAWN MELANIE WOLF (M.D.) serve?
FAWN MELANIE WOLF (M.D.)'s listing highlights Portland, Oregon; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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