NPPES file of Aug 9, 2026

Andrea Susan Herzka, MD

Sports Medicine (Orthopaedic Surgery) Physician · Portland, OR

Andrea Susan Herzka, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Portland, Oregon, and NPI 1629083118, issued on Jul 31, 2006. Check the license (Oregon MD25988, as entered in NPPES) on the Oregon Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1629083118
Name
Andrea Susan Herzka
Credential
MD
Primary taxonomy
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
License number
MD25988 OR
Self-reported in NPPES; status is on the state search
Practice location
3181 SW Sam Jackson Park RD, Portland, OR 97239
Phone
(503) 494-6400
Enumerated
Jul 31, 2006
Record last updated
Aug 27, 2024
Medicaid ID
270027 OR
Medicare enrollment
Enrolled (PECOS I20051010000603); accepts Medicare assignment
Medical or professional school
University Of California, San Francisco School Of Medicine, 1999
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 3181 SW Sam Jackson Park RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Alex AamodtCritical Care Medicine Registered Nurse1154257590
  2. Jefferson Abaricia, MD, PHDStudent in an Organized Health Care Education/Training Program1073215711
  3. Kenneth Abbey, MDAnesthesiology Physician1588779342
  4. Matthew Abbott, PA-CMedical Physician Assistant1154738003
  5. Ayah Abdelsalam Megahed, MD, MSCVascular & Interventional Radiology Physician1023503596
  6. Obada Abdulrazzak, MDStudent in an Organized Health Care Education/Training Program1598567430

Verify Andrea Susan Herzka in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersOregon Medical Board
    Search for license MD25988
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Oregon license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

The MIPS final score for 2023 (Medicare payment program): 97.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score81.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. University Professional ServicesBeaverton, OR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Andrea Susan Herzka among 49 sports medicine (orthopaedic surgery) physician records in Oregon

Andrea Susan Herzka, MD is one of 49 sports medicine (orthopaedic surgery) physician records with a practice address in Oregon. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 37% of them.

  • NPI issued2006 · 37% of these records are older, 31% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated1999 · median 2001 among the 29 with a school on file
  • Record last updated2024 · 37% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Orthopaedic Surgery) Physician providers in Oregon

There are 49 sports medicine (orthopaedic surgery) physician records in Oregon.

The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes

  1. Jacqueline Brady, M.D.Portland, OR 972391356585889
  2. Dennis Crawford, MD,PHDPortland, OR 972391861408312
  3. Todd Ulmer, MDPortland, OR 972391407834773
  4. Bryce Bederka, M.D.Portland, OR 972271831215987
  5. Brett Andres, MDPortland, OR 972251801889399
  6. Jason Kurian, MDPortland, OR 972251417049651
  7. Carol Pelmas, MDPortland, OR 972251093818163
  8. Patrick Hanley, MDPortland, OR 972161134198914

Common questions

What is Andrea Susan Herzka, MD's NPI number?

Andrea Susan Herzka, MD's National Provider Identifier (NPI) is 1629083118, issued on Jul 31, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Andrea Susan Herzka, MD located?

The NPPES record lists a practice address at 3181 SW Sam Jackson Park RD, Portland, OR, 97239. Phone: (503) 494-6400. Providers update this record themselves, so call before visiting.

How can I verify Andrea Susan Herzka, MD's license?

NPPES lists Oregon license number MD25988, as entered by the provider. Search the Oregon Medical Board at https://www.oregon.gov/OMB/Pages/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Andrea Susan Herzka, MD's MIPS final score?

The 2023 MIPS final score is 97.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.