CLEM V POPE – Physician Assistant, NPI 1174188585
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for CLEM V POPE
Flying Elephants Delicatessen, 2730, Southwest Moody Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97201, United States
PORTLAND, OR 972015042
Phone:
Type: Mailing
2730 SW Moody Ave
Portland, OR 972015042
Phone: (503) 494-3633
Type: Location
24934 Fir Grove Ln
Elmira, OR 974379751
Phone: (541) 234-3255
Type: Location
54771 McKenzie Hwy
Blue River, OR 974139790
Phone: (541) 822-3341
Type: Location
535 NE 6th Ave
Estacada, OR 970239312
Phone: (503) 630-8550
Type: Location
PO BOX 546
GRESHAM, OR 970300132
Phone:
Type: Mailing
47815 HIGHWAY 58
OAKRIDGE, OR 974639572
Phone: (541) 782-8304
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: 2020-12-15
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 |
|---|---|---|---|---|
| I20201215003109 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 48 | 21 | $0 |
Insurance plans in this area (ZIP 97201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | FL | |
| Clinical Social Worker | OR | |
| N E U R O L O G Y | CA | |
| Nurse Practitioner | OR | |
| Mental Health Counselor | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Nurse Practitioner | OR |
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