MR. FRED HUGHES III COLEMAN (M.D.) – Maternal & Fetal Medicine Physician, NPI 1891760492
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. FRED HUGHES III COLEMAN (M.D.)
Legacy Medical Group- Northeast, 300, North Graham Street, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States
SUITE 100
PORTLAND, OR 972271683
Phone: (503) 413-1122
Fax: (503) 413-1122
Type: Mailing
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
333 N 1ST ST STE 150
BOISE, ID 837026135
Phone: (208) 381-3088
Fax: (208) 381-4314
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: 2007-03-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040518000898 | I | Obstetrics/Gynecology | OR | TBD |
| I20070316000456 | I | Obstetrics/Gynecology | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97227)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | OR | |
| Internal Medicine | CA | |
| Family Practice | WA | |
| Nurse Practitioner | CA | |
| Neurology, Hospice/Palliative Care | WA | |
| Nurse Practitioner | SD | |
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR | |
| General Surgery | OR |
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