Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael Rott

Individual provider Physician Assistant · NPI 1609293174

Michael Rott is a Physician Assistant in Portland, Oregon. Qualified in 2013, 13 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

501 N Graham St Ste 580
Portland, OR 97227-2003
Phone: (503) 528-0704
Fax: (503) 528-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA166641 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 166641 (OR)

Record details

NPI number1609293174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2014
Last updated in NPPESNovember 12, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients41
Services billed 67 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Salem Hospital Hospital · Salem, OR
  • Legacy Emanuel Medical Center Hospital · Portland, OR

Colleagues at Legacy Clinics LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 718 clinicians in the practice; 12 are shown here.

Other providers in Portland