JOSE S DE LA CRUZ (MD) – Family Medicine Physician, NPI 1003174285
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for JOSE S DE LA CRUZ (MD)
4918 SW EASTGATE DR
WILSONVILLE, OR 970706831
Phone: (503) 961-3875
Type: Mailing
105 ARNEY RD STE 120
WOODBURN, OR 970719472
Phone: (503) 814-4400
Type: Location
13200 SW PACIFIC HWY
TIGARD, OR 972234828
Phone: (503) 598-2000
Fax: (503) 639-0920
Type: Location
105 Arney Rd Ste 120
Woodburn, OR 970719472
Phone: (503) 814-4400
Type: Location
PO BOX 1517
PENDLETON, OR 978010410
Phone: (877) 708-1119
Fax: (541) 278-8349
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($48).
Total Amount
$215
General + Research + Ownership
Payments
10
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-04-02
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 |
|---|---|---|---|---|
| I20190402000609 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 214 | 103 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 69 | 43 | $0 |
| G0008 | Administration of influenza virus vaccine | 19 | 19 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 15 | 15 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $0 |
Insurance plans in this area (ZIP 97070)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Nurse Practitioner | OR | |
| - | OR | |
| Nurse Practitioner | CA | |
| General Practice | OR | |
| - | NH | |
| Physician Assistant | OR | |
| Nurse Practitioner | CA | |
| General Practice | OR | |
| Physician Assistant | ME |
Reviews
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