TRICIA N JESPERSON (DO) – Nephrology Physician, NPI 1174777973

TRICIA N JESPERSON (DO) is a healthcare provider. based in Portland, Oregon. specializing in NEPHROLOGY. They hold the professional credentials DO. They hold a License No. OP60277405 (WA). The NPI Number for TRICIA N JESPERSON (DO) is 1174777973

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
TRICIA N JESPERSON (DO)
NPI
1174777973
Phone
(503) 235-5509
Address
5050 NE HOYT ST STE B54
Enumeration Date
6 November 2008
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
5032355509
Graduation Year
2007 (19 years ago)
PAC ID
0749436442
Group Practice PAC ID
8628065836
Professional Enrollment ID
I20120813000498
Address ID
OR972131568PO4224XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:17State licenses:3Digital endpointsOther names

141 NEPHROLOGY in OR

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Provider Addresses for TRICIA N JESPERSON (DO)

  • Northeast Hoyt Street, Wilkes, Portland, Metro, Multnomah County, Oregon, 97230, United States

    PORTLAND, OR 97213

    Phone: (503) 235-5509

    Fax: (503) 235-5335

    Type: Location

  • PO BOX 3068

    PORTLAND, OR 972083068

    Phone: (503) 229-7976

    Fax: (503) 274-4867

    Type: Mailing

  • 640, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972102993

    Phone: (503) 229-7976

    Fax: (503) 274-4867

    Type: Mailing

  • 4224 NE HALSEY ST STE 300

    PORTLAND, OR 972131568

    Phone: (503) 235-5509

    Fax: (503) 235-5335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($64).

Total Amount

$146

General + Research + Ownership

Payments

7

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

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: 2020-02-07

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
I20120813000498INephrologyORTBD
I20200207000630INephrologyHITBD

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
Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units72115$0
99214Established patient office or other outpatient visit, 30-39 minutes17171$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes14850$0
90935Hemodialysis procedure with physician evaluation12046$0
36415Insertion of needle into vein for collection of blood sample11343$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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Provider's Procedures

TRICIA N JESPERSON (DO) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYOR90966Home dialysis services per month, patient 20 years of age or older8221

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: 8628065836View full group profile
NameSpecialtyState
-OR
N E P H R O L O G YFL
N E P H R O L O G YOR
-OR
N E P H R O L O G YOR
Nurse PractitionerOR
-FL
Nephrology, Internal MedicineOR
Nephrology, Internal MedicineOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Where can patients find TRICIA N JESPERSON (DO)'s NPI?
You can confirm TRICIA N JESPERSON (DO) with NPI 1174777973; it appears in the national provider directory.
Does this profile mean TRICIA N JESPERSON (DO) is currently active?
Yes — TRICIA N JESPERSON (DO) appears active in the national provider directory.
What does TRICIA N JESPERSON (DO) treat or focus on?
Patients typically see TRICIA N JESPERSON (DO) under the specialty Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location shows for TRICIA N JESPERSON (DO)?
We surface Portland, Oregon for TRICIA N JESPERSON (DO) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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