JONATHAN CLARK CRIST (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1134252851

JONATHAN CLARK CRIST (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD28274 (OR). The NPI Number for JONATHAN CLARK CRIST (M.D.) is 1134252851

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN CLARK CRIST (M.D.)
NPI
1134252851
Phone
(503) 221-0161
Address
800 SW 13TH AVE
Enumeration Date
13 March 2007
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
5032930161
Graduation Year
2004 (22 years ago)
PAC ID
7315016003
Group Practice PAC ID
8224942867
Professional Enrollment ID
I20080924000723
Address ID
OR972236721TI9250XBLVD400

Contacts

Secure Messaging
jcrist1704@direct.theportlandclinic.net
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
Experience76
Completeness95
Years active:19State licenses:2Other names

88 SPORTS MEDICINE in OR

Provider Addresses for JONATHAN CLARK CRIST (M.D.)

  • 800 SW 13TH AVE

    PORTLAND, OR 972051902

    Phone: (503) 221-0161

    Type: Mailing

  • 9250 SW HALL BLVD

    TIGARD, OR 972236721

    Phone: (503) 293-0161

    Fax: (503) 297-9357

    Type: Location

  • 2875 NE STUCKI AVE

    HILLSBORO, OR 971245806

    Phone: (971) 310-1000

    Type: Mailing

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: 2026-02-13

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
I20080924000723ISports MedicineORTBD
I20260213003716ISports MedicineWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13595$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7024$0
99203New patient office or other outpatient visit, 30-44 minutes5454$0
99214Established patient office or other outpatient visit, 30-39 minutes5252$0
20610Aspiration and/or injection of fluid from large joint2926$0
View full utilization report →

Insurance plans in this area (ZIP 97205)

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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: 8224942867View full group profile
NameSpecialtyState
Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YOR
-OR
-OR
Physician AssistantOR
Physician AssistantOR
Nurse PractitionerOR
O P T O M E T R YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
-OR

Reviews

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Frequently asked questions

Is JONATHAN CLARK CRIST (M.D.) listed with a National Provider Identifier?
Yes — JONATHAN CLARK CRIST (M.D.) has NPI 1134252851 on file in the registry.
Is JONATHAN CLARK CRIST (M.D.) shown as active in public data?
Registry records indicate JONATHAN CLARK CRIST (M.D.) maintains an active NPI.
What area of care is associated with JONATHAN CLARK CRIST (M.D.)?
JONATHAN CLARK CRIST (M.D.)'s record emphasizes Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is JONATHAN CLARK CRIST (M.D.) located near Portland?
JONATHAN CLARK CRIST (M.D.) currently maps to Portland, Oregon in this extract.
When was this NPI issued?
Enumeration for JONATHAN CLARK CRIST (M.D.) is noted as March 13, 2007 where the registry provides it.

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