DR. JEFFREY COTTLE WHEAT (MD) – Urology Physician, NPI 1124144415

DR. JEFFREY COTTLE WHEAT (MD) is a healthcare provider. based in Clackamas, Oregon. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 154382 (OR). The NPI Number for DR. JEFFREY COTTLE WHEAT (MD) is 1124144415

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY COTTLE WHEAT (MD)
NPI
1124144415
Phone
(503) 652-2880
Address
9900 SE SUNNYSIDE RD
Enumeration Date
21 March 2007
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
8008132000
Graduation Year
2005 (21 years ago)
PAC ID
0042462665
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20121206000064
Address ID
OR971245806HI2875XAVEX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

173 UROLOGY in OR

Provider Addresses for DR. JEFFREY COTTLE WHEAT (MD)

  • 9900 SE SUNNYSIDE RD

    CLACKAMAS, OR 970159777

    Phone: (503) 652-2880

    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)

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: 2019-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20121206000064IUrologyORTBD
I20191230002613IUrologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

How is DR. JEFFREY COTTLE WHEAT (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JEFFREY COTTLE WHEAT (MD) with NPI 1124144415.
Does the file indicate DR. JEFFREY COTTLE WHEAT (MD) is practicing under active NPI?
Directory data currently reports DR. JEFFREY COTTLE WHEAT (MD) as active.
What taxonomy line describes DR. JEFFREY COTTLE WHEAT (MD)?
For research purposes, treat DR. JEFFREY COTTLE WHEAT (MD) as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JEFFREY COTTLE WHEAT (MD) list a practice location?
Patients near Clackamas, Oregon may find DR. JEFFREY COTTLE WHEAT (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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