JAMES CLIVE CHESNUTT (MD) – Sports Medicine (Family Medicine) Physician, NPI 1043225543
Sports Medicine (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 JAMES CLIVE CHESNUTT (MD)
3181 SW Sam Jackson Park Rd
Portland, OR 972393011
Phone: (503) 494-5050
Type: Location
Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States
STE 210
VANCOUVER, WA 986643295
Phone: (360) 254-6161
Fax: (360) 449-1146
Type: Mailing
Meadows Road, Holly Orchard, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States
LAKE OSWEGO, OR 970352542
Phone: (360) 254-6161
Fax: (360) 449-1146
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: 2008-10-07
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 |
|---|---|---|---|---|
| I20081007000242 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 432 | 74 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 153 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 134 | 84 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 63 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 57 | 15 | $0 |
Insurance plans in this area (ZIP 97239)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OR | 20610 | Aspiration and/or injection of large joint or joint capsule | 126 | 68 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | OR | |
| - | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery, Hand Surgery, Orthopedic Surgery | WA | |
| Physician Assistant | OR | |
| - | WA | |
| Orthopedic Surgery | WA |
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