JONATHAN HATTENHAUER (D.O.) – Internal Medicine Physician, NPI 1013302348
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,475 INTERNAL MEDICINE in OR
Provider Addresses for JONATHAN HATTENHAUER (D.O.)
615 PAVONIA AVE APT 3808
JERSEY CITY, NJ 073062960
Phone:
Type: Mailing
PO BOX 31001-4180
PASADENA, CA 911104180
Phone: (503) 215-6494
Type: Mailing
10150 SE 32ND AVE
MILWAUKIE, OR 972226516
Phone: (503) 215-5895
Type: Location
891 G Ave
Lake Oswego, OR 970342258
Phone: (503) 913-3977
Type: Location
891 G AVE
LAKE OSWEGO, OR 970342258
Phone: (503) 913-3977
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: 2025-04-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210713003506 | I | Internal Medicine | OR | TBD |
| I20250418001358 | I | Gastroenterology | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 116 | 116 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 50 | 49 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 44 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 07306)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| Physician Assistant | WA | |
| General Surgery, Thoracic Surgery | WA | |
| General Surgery, Thoracic Surgery | WA | |
| Family Practice | WA | |
| O P H T H A L M O L O G Y | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| Medical Oncology | WA | |
| Nephrology, Internal Medicine | WA |
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