CYNTHIA SHAFF-CHIN (MD) – Family Medicine Physician, NPI 1144235656
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for CYNTHIA SHAFF-CHIN (MD)
5330 NE Glisan St
STE 100
Portland, OR 972133069
Phone: (503) 216-9700
Fax: (503) 215-2676
Type: Location
5330, Northeast Glisan Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213-1422, United States
STE 100
PORTLAND, OR 972133069
Phone: (503) 216-9700
Fax: (503) 215-2676
Type: Location
6327 SE MILWAUKIE AVE
PORTLAND, OR 972025418
Phone: (503) 659-4777
Type: Location
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
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: 2006-10-25
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 |
|---|---|---|---|---|
| I20061025000043 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 59 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 33 | 26 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | 18 | $0 |
| G0009 | Administration of pneumococcal vaccine | 18 | 18 | $0 |
| G0008 | Administration of influenza virus vaccine | 14 | 14 | $0 |
Insurance plans in this area (ZIP 97213)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Family Practice, Sports Medicine | OR | |
| Internal Medicine | OR | |
| Family Practice | OR | |
| Family Practice | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Physical Therapist In Private Practice | OR | |
| Nurse Practitioner | OR | |
| Family Practice | OR |
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