JARED ADAM SHIPLEY (MD) – Pulmonary Disease Physician, NPI 1194933770
Pulmonary Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
198 PULMONARY DISEASE in OR
Provider Addresses for JARED ADAM SHIPLEY (MD)
11000 SW Stratus St Ste 310
Beaverton, OR 970087144
Phone: (503) 297-3778
Fax: (503) 297-7853
Type: Location
541 NE 20TH AVE STE 225
PORTLAND, OR 972322895
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States
PORTLAND, OR 972256652
Phone: (503) 297-3778
Fax: (503) 297-7853
Type: Location
19250 SW 65th Ave Ste 135
Tualatin, OR 970627745
Phone: (503) 692-8560
Fax: (503) 692-8562
Type: Location
16770 SW Edy Rd Ste 216
Sherwood, OR 971409679
Phone: (503) 297-3778
Fax: (503) 297-7853
Type: Location
879 Providence Dr
Newberg, OR 971327563
Phone: (503) 297-3778
Fax: (503) 297-7853
Type: Location
Cascadia Behavioral Healthcare Administrative Office, 847, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States
SUITE 300
PORTLAND, OR 972322684
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-03-09 • Largest payer in this snapshot: Baxter Healthcare ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $22 |
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: 2011-09-06
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 |
|---|---|---|---|---|
| I20110906000167 | I | Pulmonary Disease | 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 | 167 | 117 | $0 |
| 99291 | Critical care, first 30-74 minutes | 107 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 78 | $0 |
| 94726 | Test to determine lung volumes using sensors | 58 | 58 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 58 | 58 | $0 |
Insurance plans in this area (ZIP 97008)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | OR | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 15 | 12 |
| PULMONARY DISEASE | OR | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 175 | 171 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| - | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Gastroenterology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Qualified Audiologist | OR | |
| Physician Assistant | OR | |
| N E U R O S U R G E R Y | OR |
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