DR. TIMOTHY P JANZEN (M.D.) – Family Medicine Physician, NPI 1003845447

DR. TIMOTHY P JANZEN (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD16918 (OR). The NPI Number for DR. TIMOTHY P JANZEN (M.D.) is 1003845447

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY P JANZEN (M.D.)
NPI
1003845447
Phone
(503) 261-7200
Address
10803 SE CHERRY BLOSSOM DR
Enumeration Date
30 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032617200
Graduation Year
1987 (39 years ago)
PAC ID
5597959692
Group Practice PAC ID
8921093048
Professional Enrollment ID
I20101103000057
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TIMOTHY P JANZEN (M.D.)

  • 10803, Southeast Cherry Blossom Drive, Russellville, Mill Park, Portland, Metro, Multnomah County, Oregon, 97216, United States

    PORTLAND, OR 972163107

    Phone: (503) 261-7200

    Fax: (503) 261-7249

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $387.

Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($88).

Total Amount

$387

General + Research + Ownership

Payments

17

Total payment records

General Amount

$387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101103000057IFamily PracticeORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample1513$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1212$0
View full utilization report →

Insurance plans in this area (ZIP 97216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921093048View full group profile
NameSpecialtyState
Family PracticeOR
-OR
Physician AssistantOR
Family PracticeOR
Family PracticeWA
Physician AssistantOR
Family PracticeOR
Physician AssistantOR
-OR
Family PracticeOR

Reviews

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Frequently asked questions

How do payers reference DR. TIMOTHY P JANZEN (M.D.)?
For DR. TIMOTHY P JANZEN (M.D.), use NPI 1003845447 as the unique 10-digit identifier.
Is there an active status for DR. TIMOTHY P JANZEN (M.D.)?
For scheduling context, DR. TIMOTHY P JANZEN (M.D.) is shown as active in the registry.
What area of care is associated with DR. TIMOTHY P JANZEN (M.D.)?
DR. TIMOTHY P JANZEN (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY P JANZEN (M.D.) associated with Portland?
Public fields place DR. TIMOTHY P JANZEN (M.D.) around Portland, Oregon. Always confirm the exact site before visiting.
Does DR. TIMOTHY P JANZEN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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