CLINTON ANDERSON (MD) – Family Medicine Physician, NPI 1134106867

CLINTON ANDERSON (MD) is a healthcare provider. based in Portland, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 41558 (MN). The NPI Number for CLINTON ANDERSON (MD) is 1134106867

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON ANDERSON (MD)
NPI
1134106867
Phone
(866) 366-2983
Address
PO BOX 3360
Enumeration Date
23 December 2005
Last Update Date
5 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253476330
Graduation Year
1997 (29 years ago)
PAC ID
9436114477
Group Practice PAC ID
8325100480
Professional Enrollment ID
I20081104000671
Address ID
WA982755457MU4112XSWXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for CLINTON ANDERSON (MD)

  • 3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083360

    Phone: (866) 366-2983

    Type: Mailing

  • 12800, Bothell-Everett Highway, Everett, Snohomish County, Washington, 98208, United States

    EVERETT, WA 982086642

    Phone: (425) 316-5150

    Fax: (425) 225-1006

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $328.

Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($144).

Total Amount

$328

General + Research + Ownership

Payments

3

Total payment records

General Amount

$328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-11-04

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
I20081104000671IFamily PracticeWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5050$0
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
81003Automated urinalysis test1111$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 8325100480View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is CLINTON ANDERSON (MD) identified in CMS data?
CMS-hosted NPPES data lists CLINTON ANDERSON (MD) with NPI 1134106867.
Is CLINTON ANDERSON (MD) still practicing?
CLINTON ANDERSON (MD) is currently listed as active in the public NPI registry.
What is CLINTON ANDERSON (MD) best known for clinically?
Directory data describes CLINTON ANDERSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for CLINTON ANDERSON (MD)?
CLINTON ANDERSON (MD)'s geographic hint is Portland, Oregon in our summary view.
Is the information about CLINTON ANDERSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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