Roger E. Alberty, M.D. Surgical Center – Ambulatory Surgical Clinic/Center, NPI 1508040486

Roger E. Alberty, M.D. Surgical Center is a healthcare provider. based in Portland, Oregon. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for Roger E. Alberty, M.D. Surgical Center is 1508040486

Main info

Organization
Name
Roger E. Alberty, M.D. Surgical Center
NPI
1508040486
Phone
(503) 221-0161
Address
800 SW 13TH AVE
Authorized Official
MR. DICK CLARK CHIEF EXECUTIVE OFFICER
Enumeration Date
27 December 2007
Last Update Date
26 October 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Roger E. Alberty, M.D. Surgical Center

  • 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) 221-4451

    Type: Mailing

  • Alberty Surgical Center, 9100, Southwest Oleson Road, Denny-Whitford-Raleigh West, Tigard, Metro, Washington County, Oregon, 97223, United States

    TIGARD, OR 97223

    Phone: (503) 445-9066

    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: 2008-02-08

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
O20080208000555OAmbulatory Surgical CenterORTBD

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
45380Biopsy of large bowel using a flexible endoscope9898$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6868$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5251$0
66984Removal of cataract with insertion of prosthetic lens3422$0
26055Incision of tendon covering of finger1611$0
View full utilization report →

Insurance plans in this area (ZIP 97205)

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Reviews

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Frequently asked questions

Can I use this page to confirm Roger E. Alberty, M.D. Surgical Center's NPI?
Yes. Roger E. Alberty, M.D. Surgical Center is listed with NPI 1508040486 in the public NPI dataset.
Can I rely on Roger E. Alberty, M.D. Surgical Center being an active provider?
As of the registry snapshot, Roger E. Alberty, M.D. Surgical Center is marked active.
What is Roger E. Alberty, M.D. Surgical Center best known for clinically?
Directory data describes Roger E. Alberty, M.D. Surgical Center with Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
What address line appears for Roger E. Alberty, M.D. Surgical Center?
Roger E. Alberty, M.D. Surgical Center's geographic hint is Portland, Oregon in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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