JORDAN MARIE RAYMER (M.D.) – Surgery Physician, NPI 1003071580
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 GENERAL SURGERY in OR
Provider Addresses for JORDAN MARIE RAYMER (M.D.)
19250 SW 65th Ave Ste 240
Tualatin, OR 970627745
Phone: (503) 691-9895
Fax: (503) 692-6932
Type: Location
9155 SW Barnes Rd Ste 735
Portland, OR 97225
Phone: (503) 297-1351
Fax: (503) 297-2851
Type: Location
330, 9th Street, Florence, Lane County, Oregon, 97439, United States
FLORENCE, OR 974399470
Phone: (541) 997-2820
Fax: (541) 997-7197
Type: Location
18040 SW Lower Boones Ferry Rd Ste 207
Tigard, OR 972247259
Phone: (503) 297-1351
Fax: (503) 297-2851
Type: Location
300, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States
PORTLAND, OR 972322686
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
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: 2013-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20130906000262 | I | General Surgery | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | OR | |
| Family Practice, Hospice/Palliative Care | OR | |
| General Surgery | OK | |
| - | OR | |
| - | CA | |
| Internal Medicine, Pediatric Medicine | OR | |
| Internal Medicine | OR | |
| Internal Medicine | CA | |
| - | OR |
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