Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Roya Mansouri , MD

Otolaryngology โ€ข Gresham, OR

Active NPI 1265407019 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

24076 Se Stark St, Suite 230
Gresham, OR 970303373

Call 5034882600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

24076 Se Stark St
Suite 230

Gresham, OR 970303373

Telephone 5034882600
Fax 5034655468
Organization at the Same NPPES Address or Phone
Gresham Professional Pharmacy Facility NPI 1063401198

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: The Oregon Clinic, Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Tulane University School Of Medicine

Graduation Year

1999

Medicare patients

119 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $20,919 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $14,434 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

178 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,688 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $114.30 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

27 years (graduated 1999)

CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mansouri has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mansouri as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gresham and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Otolaryngology in Oregon (2024, 91 clinicians with data). Median for this group: 364. Middle half: 247 to 739.

Too few clinicians listed under Otolaryngology in Gresham have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Otolaryngology in Oregon (2024, 91 clinicians with data). Median for this group: $40,554. Middle half: $25,456 to $64,195.

Too few clinicians listed under Otolaryngology in Gresham have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 80% of clinicians listed under Otolaryngology in Oregon (2024, 91 clinicians with data). Median for this group: $30,560. Middle half: $17,644 to $47,136.

Too few clinicians listed under Otolaryngology in Gresham have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Otolaryngology in Oregon (2024, 104 clinicians with data). Median for this group: 175. Middle half: 69 to 310.

Too few clinicians listed under Otolaryngology in Gresham have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Otolaryngology in Oregon (2024, 104 clinicians with data). Median for this group: $4,021. Middle half: $1,122 to $7,542.

Too few clinicians listed under Otolaryngology in Gresham have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Otolaryngology with a practice address in Gresham, OR (164 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $114.30.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
PROPEL General $114.30

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
95117 Professional service for multiple injections of allergen
61 14 $43.00 $13.05
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
41 30 $314.00 $91.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
32 32 $385.00 $114.22
31575 Diagnostic exam of voice box using a flexible endoscope
24 23 $446.00 $128.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $577.00 $162.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 17 $443.00 $131.31
31231 Diagnostic exam of nasal passages using an endoscope
18 14 $647.39 $197.26

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Fluticasone Propionate Fluticasone Propionate 29 1,050 $382.06 14
Ipratropium Bromide Ipratropium Bromide 27 494 $587.02 13
Omeprazole Omeprazole 22 1,470 $318.67 โ€”
Prednisone Prednisone 19 134 $42.93 18
Ondansetron Odt Ondansetron 16 51 $66.98 15
Oxycodone Hcl Oxycodone Hcl 14 81 $60.92 14
Azelastine Hcl Azelastine Hcl 12 533 $229.17 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-07
Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

License # reported to NPPES OR MD25216

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
7064942 (WA)
Medicaid ID
275376 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OTOLARYNGOLOGY

Medicare Enrollment ID

I20040819000145

Enrollment State Jurisdiction

OR

PECOS Control ID

0941273742

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Oregon Clinic, Pc

24076 Se Stark St, Gresham, OR 970303162

Phone: 5034655461

Secondary Practice Locations

1111 Ne 99th Ave

Portland, OR 972209428

Phone: 5034882626

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
NPI 1811164262

Doctor of Medicine (M.D.)

NPI 1720028335

Doctor of Medicine (M.D.)

NPI 1376205278

Doctor of Audiology

NPI 1194271262

Master of Public Health, MSHS, Physician Assistant (Certified)

Jenna Esterberg , PA-C

Physician Assistant

NPI 1932548161

Physician Assistant (Certified)

Dr. Nicole Frazier , AuD

Audiologist-Hearing Aid Fitter

NPI 1639515448

Doctor of Audiology

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address November 21, 2023

Registered at 541 NE 20TH AVE STE 225, PORTLAND, OR 972322895 (Tel: 5039632801)

โœ…
NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 24, 2013

Registered at 24076 SE STARK ST, SUITE 230, GRESHAM, OR 970303373 (Tel: 5034882600)

๐Ÿ“
Business Mailing Address (Initial Record) September 24, 2013

Registered at 847 NE 19TH AVE, SUITE 300, PORTLAND, OR 972322684 (Tel: 5039632801)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 24, 2013

Recorded as ROYA MANSOURI, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Otolaryngology (license number reported to NPPES: OR MD25216)

๐ŸŸข
Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265407019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: November 07, 2024
Sole Proprietor: No

Other Otolaryngology Specialists in Gresham

Healthcare providers in Gresham

Mailing Address

541 Ne 20th Ave Ste 225

Portland, OR 972322895

Phone: 5039632801

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.