DR. JESSICA MARIE GHAFERI (M.D.) – Dermatology Physician, NPI 1003940966
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
Provider Addresses for DR. JESSICA MARIE GHAFERI (M.D.)
PO BOX 230457
TIGARD, OR 972810457
Phone: (503) 906-7300
Fax: (503) 245-8219
Type: Mailing
12254 SW GARDEN PL
TIGARD, OR 972238246
Phone: (734) 800-2727
Fax: (503) 245-8219
Type: Location
9200 W WISCONSIN AVE
MILWAUKEE, WI 532263522
Phone: (414) 805-5320
Fax: (414) 805-5320
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: 2024-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20110705000305 | I | Dermatology | MI | TBD |
| I20200131002271 | I | Pathology | OR | TBD |
| I20241223002622 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3,728 | 2,637 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 203 | 147 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 197 | 194 | $0 |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 172 | 35 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 154 | 76 | $0 |
Insurance plans in this area (ZIP 97281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Orthopedic Surgery | IL | |
| - | WI |
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