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Alfredo Aguirre, MD

Rheumatology · Portland

NPI 1184019267

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Office
1
Since medical school
11 years
Emory University School of Medicine, 2015

Offices

1 location · University Professional Services · 1,683 clinicians in this group

Looking this up.

Hospitals listed: Adventist Health Columbia Gorge · OHSU Hospital and Clinics. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Aguirre’s office at (503) 494-8311 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence A145432 · Current

Licensed to practise in California · since 2016 · expires 2026-09-30 · Emory University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Rheumatology

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Mid-Columbia Medical CenterThe Dalles, ORAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 4 of 5 · 57% would definitely recommend it
    Overall rating: 4 of 5 starsNo measure marked better or worse than the national rate
  • OHSU Hospital and ClinicsPortland, ORAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Oregon Health and Science University, which runs 2 hospitalsHome of Knight Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.31 (1.1 to 1.51), Jul 2022 – Jun 2024Worse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 6.83 (5.37 to 8.29) · 3,784 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.733, Oct 2024 – Sep 2025
See every measure and the patient survey for Mid-Columbia Medical Center

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 2 better, 6 the same, 0 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Mid-Columbia Medical Center
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0 to 2.06) · 140 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.87 (0.42 to 1.33)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths10.1 · 41 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.2 · 94 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.2 · 76 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths16 · 59 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 476 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.44) · 1,087 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 1,058 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.11 (0.62 to 5.61) · 200 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.65 (0 to 3.37) · 52 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.25 (0.55 to 3.96) · 181 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.12 (0 to 17.6) · 53 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.97 (0.74 to 9.21) · 46 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.73 (0.21 to 3.25) · 66 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.43 (0 to 1.54) · 840 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.802No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20 · 100 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-27 · 96 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-64.2 · 76 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.3 (4 to 9.7) · 59 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.7 (8.1 to 16.3) · 59 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 42 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.5 (10.3 to 18) · 664 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 241 casesNo differentJan 2024 – Dec 2024

What patients said (284 patients answered, 24% of those asked)

Patient survey stars by topic at Mid-Columbia Medical Center
Cleanliness3
Nurse communication4
Doctor communication4
Communication about medicines4
Discharge information4
Overall hospital rating2
Quietness3
Recommend hospital2
Share of patients giving the best answer at Mid-Columbia Medical Center
Room was "always" clean65%
Nurses "always" communicated well81%
Doctors "always" communicated well79%
Staff "always" explained66%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)59%
Staff "always" explained new medications77%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully80%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital57%
Staff "always" explained possible side effects54%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for OHSU Hospital and Clinics

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 1 better, 8 the same, 1 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at OHSU Hospital and Clinics
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.31 (1.1 to 1.51)WorseJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths6.83 (5.37 to 8.29) · 3,784 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.733BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.38 (0.61 to 2.14) · 2,275 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths150.45 (118.94 to 181.96) · 340 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3 · 44 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.3 · 98 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 197 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.7 · 145 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.7 · 273 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 3,434 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.25 (0.07 to 0.43) · 7,501 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.06 to 0.42) · 7,980 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.42 (1.27 to 3.57) · 2,337 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.27 (1.24 to 3.31) · 3,615 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.99 (7.55 to 14.42) · 2,153 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.35 (5.23 to 9.48) · 2,355 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.98 (0.69 to 3.27) · 1,001 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.66 (0.18 to 1.14) · 6,661 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.2 · 56 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.838No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.8No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.936No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.381No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.174No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.7 · 180 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.3 · 320 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits11.9 · 120 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits7.9 · 223 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits24.5 · 142 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.6 · 204 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5 (3.9 to 6.3) · 952 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.5 (8 to 11.4) · 952 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.8 · 47 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.4 · 88 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 49 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.8 (9.1 to 15.4) · 1,483 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 1,425 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 24% of those asked)

Patient survey stars by topic at OHSU Hospital and Clinics
Cleanliness2
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at OHSU Hospital and Clinics
Room was "always" clean64%
Nurses "always" communicated well80%
Doctors "always" communicated well78%
Staff "always" explained62%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night51%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$38,235

Medicare paid this office $38,235 for 180 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)99$13,095$83
New patient visit (60+ min)54$10,411$193
Return visit (30+ min)33$4,210$117
Long return visit (40+ min)19$3,265$163
New patient visit (45+ min)20$3,006$150
See all 7 services
Every Original Medicare service billed
Short return visit (20+ min)99$13,095$83
New patient visit (60+ min)54$10,411$193
Return visit (30+ min)33$4,210$117
Long return visit (40+ min)19$3,265$163
New patient visit (45+ min)20$3,006$150
New patient visit (30+ min)16$1,594$100
Injection, triamcinolone acetonide, not otherwise specified, 10 mg16$38None

Who their Medicare patients are

180 Original Medicare patients in 2024. Average age 75 · Women 68% · Also on Medicaid 16% · Health risk score 1.24. At or below the middle of the specialty; the typical rheumatology clinician is at 1.38.

Conditions among them: High blood pressure 66% · Coronary heart disease 27% · Depression 23% · Chronic kidney disease 20% · Atrial fibrillation 17% · Diabetes 16% · Cancer 14% · Heart failure 12% · COPD 11% · Stroke 9%.

The office billed $195,688, Medicare allowed $48,290 and paid $38,235; for 397 services of 16 kinds; $38 of it was for drugs given in the office and $38,198 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024180397751.24$195,688$38,235
20231314591.78$9,234$598
20221621571.77$14,842$2,286
2019104106763.50$101,130$16,614
201897101733.24$101,284$17,172

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2019: 2 services

Original Medicare services billed in 2019
Initial hospital care with moderate level of medical decision making at least 75 minutes73$12,801$173
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,328$121

2018: 2 services

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes67$12,242$180
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,330$121

Medicaid work

$168 in 2024

Medicaid paid $168 for 12 billed services this clinician did in 2024, up to 12 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Short return visit (20+ min)12$168
Medicaid work by year
202412112$168
201954122$6,420
201828214$1,588
See the largest Medicaid services in earlier years

2019

Largest Medicaid services in 2019
1ST HOSP IP/OBS HIGH 7554$6,420

2018

Largest Medicaid services in 2018
1ST HOSP IP/OBS HIGH 7514$1,588
Return visit (30+ min)14$0

Drugs they prescribed that Part D paid

$200,052

Pharmacies billed $200,052 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 3% of their Part D prescriptions (15 of 562) in 2024. Above the middle of the specialty; the typical rheumatology clinician is at 3%.

532 generic and fewer than 11 brand-name prescriptions · $200,052 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Colchicine31$3,524$114
Febuxostat20$2,659$133
Hydroxychloroquine Sulfate68$2,370$35
Celecoxib24$933$39
Duloxetine15$844$56
See all 12 drugs
Every Part D drug this clinician prescribed
Colchicine31$3,524$114
Febuxostat20$2,659$133
Hydroxychloroquine Sulfate68$2,370$35
Celecoxib24$933$39
Duloxetine15$844$56
Prednisone131$818$6
Methotrexate26$602$23
Gabapentin33$436$13
Azathioprine14$367$26
Allopurinol43$365$8
Hydrocodone-Acetaminophen13$304$23
Diclofenac11$152$14

Year by year

Part D prescribing by year
20245621533% (15)None$200,052
2023102260% (0)None$55,513
202219346NoneNone$388,151
2021146210% (0)47%$431,865
2020140200% (0)46%$332,194
201969230% (0)39%$107,610
2018102210% (0)None$4,492
20177718None17%$4,286

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Mycophenolate Mofetil13$1,781$137
Hydroxychloroquine Sulfate19$1,323$70
Prednisone20$165$8

2022: 6 drugs

Part D drugs prescribed in 2022
Humira(Cf)25$169,376$6,775
Enbrel12$82,650$6,888
Hydroxychloroquine Sulfate14$992$71
Methotrexate27$692$26
Prednisone18$319$18
Diclofenac11$214$19

2021: 5 drugs

Part D drugs prescribed in 2021
Humira(Cf)27$161,680$5,988
Enbrel25$157,093$6,284
Hydroxychloroquine Sulfate19$2,060$108
Methotrexate24$500$21
Allopurinol11$193$18

2020: 5 drugs

Part D drugs prescribed in 2020
Enbrel25$143,409$5,736
Humira13$76,023$5,848
Methotrexate24$479$20
Allopurinol11$150$14
Prednisone12$84$7

2019: 1 drug

Part D drugs prescribed in 2019
Prednisone11$51$5

Money from drug and device companies

$18 in 2025

Industry payments by year
202511None$18
202423None$46

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
AbbvieRinvoq$18
1 payment
  • Meals for Rinvoq · 2025-01-17 · $18
See the published payment
Every published payment
AbbvieMeals · 2025-01-17Rinvoq$18
See earlier years (2024)

2024: $46

Payments by company in 2024
AmgenTavneos$31
2 payments
  • Meals for Enbrel · 2024-11-06 · $15
  • Meals for Tavneos · 2024-09-04 · $16
AbbvieRinvoq$15
1 payment
  • Meals for Rinvoq · 2024-06-10 · $15

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
74.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1184019267
Licence
CA A145432California A145432: Current · expires 2026-09-30
Trained
Emory University School of Medicine, 2015 · 11 years ago
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RR0500X (207RR0500X); Internal medicine (207R00000X)
Mailing address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239
NPI first listed
2015-04-05
NPI last updated
2025-08-27
NPI record certified
2025-08-27

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 513 Parnassus Ave., San Francisco, CA, 94143 · UCSF, San Francisco, CA, 94143